This weeks ECG is from a 50yr old patient who has taken a large polypharmacy OD. Your team is working on gaining collateral to establish what has been taken. In the meantime the patient is agitated, but your excellent resus nurse manages to obtain this ECG:
What are your immediate management priorities?
A 40yr male patient presents with OOHCA. During arrest he received thrombolysis for potential STEMI and 10mmol KCL to treat an initial VBG K 2.5
The team then achieved ROSC and the following ABG was obtained immediately after placement of arterial line.
Please outline you management?
This week’s ECG is from a 61yr male presents 3/7 post TKR with sudden onset SOB:
Please state your diagnosis and management of this patient
The following ECG is from a 40yr old male patient:
What is your diagnosis and management of this patient?
An 86yr male presents with syncope and melena. Hb 76. His ECG is below:
What is the Rythm? What is you management plan for this patient?
This week our case involves complications around elective cardioversion. The following are rhythm strips for a DCCV involving a 150J shock and a second 200J shock
What is your management of this patient?
What potential complications should you discuss with a patient when consenting for DCCV?
A 23yr presents following a syncope, he denies chest pain. The following ECG is taken:
What does this ECG demonstrate?
What are the important differential diagnoses in a young adult with syncope?
A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis. What two features can be seen on her ECG?
What management should we initiate for this patient?
This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is:
His potassium and magnesium are borderline low so you commence IV replacement while you wait for serial troponin results. While this is happening, you respond to a Met call on the patient. This is his rhythm strip:
What is the management for this patient and what is the disposition?
Today’s ECG is a 45yr male who presents to ED with a 12hr history of epigastric pain and diaphoresis. He is an ex smoker, no other cardiac risk factors.
His observations are HR 65 BP 110/70 RR19 Sp02 99% RA
His ECG is shown:
What can be seen on this ECG? What disposition, further investigations, and management would be appropriate for this patient?