The following 66yr old man went to the GP for a health check up, the GP found him to be bradycardic and referred him to ED. While your RMO is taking a history from this delightful gentleman, you get handed this ECG:
What is your diagnosis and 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
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?
The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.
What further history would you elicit from this patient?
Interpret his ECG and outline your management.
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?