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You are working as a paramedic in a remote area of Alaska, USA. The 48-year-old male below presents with chest pain. Thrombolytics are available as a protocol. Your interpretation is a follows: (Choose only one)
A. Early Transition.
B. Late Transition.
C. Changes suspicious of acute ST-elevation posterior MI. Recommend posterior leads V8, V9, V10.
D. Underlying rhythm is atrial flutter. Flutter rate = 650 bpm with variable block.
E. Underlying rhythm is atrial flutter. Flutter rate = 350 bpm with variable block.
F. The underlying rhythm is distorted by artifact (Atrial Fibrillation vs Sinus Arrhythmia). Examination of a longer rhythm strip would be helpful.
G. Acute ST-elevation MI (inferolateral; STEMI) If no contraindications, administer thrombolytics.
H. A, C, F and G only.
I. B, C, F and G only.
J. B, C, E and G only.