The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.
His observations demonstrate a mild tachypnoea and 2L nasal prong oxygen requirement.
Describe and interpret his ECG. Outline your management of 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?
The following ECG is from a 62-year-old man who presented following an MVA. He has collided with a tree at 80km/hr with impact to his anterior chest wall on the steering wheel and significant cabin intrusion requiring extrication.
He is complaining of central chest pain and dyspnoea and is unable to recount how the accident occurred. He is hemodynamically stable.
His ECG is performed:
Describe and interpret his ECG. How will you manage this patient?
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?
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?
An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG:
If these were new findings what might you be concerned about?
The following ECG is from a 19-year-old female who has presented following a syncopal episode.
What further information on history would you obtain?
What is your interpretation of the ECG.
An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you. Her ECG is shown:
What is the management for this pediatric patient?
She receives some treatment for her condition and her subsequent ECG is below:
Her mother asks you if this is likely to happen again, and what she can do about it? What is your advice to the mother?
47yr female presents with 2 day history of right infra-scapula pain. In ED has right sided pleuritic chest pain and is diaphoretic. No PMH or cardiac risk factors
Please interpret the ECG and detail your management of this patient: