A 45-year-old man has been transferred to your tertiary ED atier being diagnosed with a myocardial infarction. He was thrombolysed prior to transfer. His ECG on arrival to your hospital is provided.

MI post thrombolysis

1. Give your overall interpretation of the ECG with (4) abnormalities 6 marks

2. List (3) factors you will consider in determining whether thrombolysis has been successful 3 marks

3. List (3) complications of this presentation that might require additional management in the ED. 3 marks