VBG of the week 14 May 25

The following patient was found collapsed outside a warehouse. What is his diagnosis and management?

ph            7.26
pCo2            49
pO2             22
HCO3            22
Base Xs         -5
Sample type: Venous

Na             146
K              4.1
Cl             112
IonCa          1.1
Creatinine      88
Hb             137

Glucose        5.9
Lactate        3.8

Carboxy Hb     0.7
Met Hb         42.2

ECG of the week 30/4/25 “Doc is my pacemaker pacing properly?

This week we have a series of 3 ECGs from separate patients. These patients all had the same question. “Doc is my pacemaker pacing properly?”

Patient 1 78yr female presents following a mechanical fall. Her CXR shows likely left side nondisplaced rib fractures. The patient is worried that the fall may have dislodged the pacing leads. What will you tell her?

Patient 2 is a 65yr female who presents with chest pain. What is on her ECG?

Patient 3 75yr female presents with renal colic and complains of chest palpitations during periods of pain. Her ECG is below:

They say things come in 3s, I hope you enjoy todays trifecta of ECGs!

ECG of the week Tox Roadshow 9/4/25

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?

VBG of the week 26/3/25

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?