Unfortunately procedural complications can occur on the backside of procedures as well as during the intervention phase of the procedure. Look at the rhythm strip shown below. This is a 50-year-old man who had developed septic shock from Streptococcus pneumonia. He had done quite well though. His hemodynamics had normalized and he was no longer requiring inovasopressor support. He had been extubated the day before without any signs of respiratory distress. He was weak from his 10-day ICU stay, but was ready to be transferred to the general medicine ward.