#EMConf: ECG

A 69-year-old male with PMH of HTN, DM presents to the ED for chief complaint of vomiting. On evaluation, he states he “does not feel so good.” VS are BP 173/99, HR 74, Temp 97.1, RR 22, SpO2 99% on RA. You connect him to the monitor and see a wide rhythm. STAT EKG shows the rhythm below. What do you do next?

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