EKG Challenge #3 - A Case of the Dizzies

You are working on a busy night in TCC when an elderly lady is brought in by EMS with a complaint of dizziness. The paramedic looks a bit more stressed than you expect for the average old lady with a case of the dizzies and rightly so. As he reports her vital signs, you are shocked to hear that her HR has been steadily below 30 with a systolic blood pressure in the 80s and you’re even more shocked to hear that she’s awake! She reports feeling generally weak and thinks she has the “stomach flu”.  As the nurses get down to business placing the patient on the monitor and obtaining IV access, the tech hands you this EKG.

Interpret the EKG.  What is your differential?  What would you do next?
 
See the case conclusion HERE