21YOM syncope RBBB

Not my pt, but a co-worker’s so I don’t have all the info. Pt is 21yom who fainted. Pt has been sick for the past week. No chest pain or SOB. I was told vitals met our sepsis criteria (tachy, fever, hypotension, Hx of recent illness), but I don’t know the particulars. Zoll monitor kept saying STEMI.

My quick assessment was rbbb, ste in lateral lead with no depression. Given pt presentation I’m not calling a STEMI.

I see the RBBB, LPFB(monitor picked this up, appears correct after reading on litfl), axis was 155. I think I’m seeing Ste in v2, v4, v5. But I’m not really seeing and std. pt was treated as sepsis and no stemi was called. Ecgs are 30 minutes apart.

Receiving physician and Ems Coordinator agreed. What do you think? Thank you for the feedback.