SAQ 443 – Cardiology – posterior STEMI with pulmonary oedema and shock

You are the consultant in charge of a tertiary emergency department at 9 pm on a Saturday. Ambulance notifies you of a 53-year-old man 20 minutes away with severe chest pain for 3 hours, unresponsive to simple analgesia but otherwise haemodynamically normal. The pre-hospital ECG is shown below.

On arrival he becomes acutely short of breath with crackles to the midzones.

Observation	Result
Heart rate	60/min
Blood pressure	85/65 mmHg
Oxygen saturation	85% on 15 L/min oxygen via Hudson mask

Give one (1) positive and two (2) negative ECG findings, and state a single unifying diagnosis.

(Marked out of 8.0)

/ 8

List six (6) immediate management steps.

(Marked out of 12.0)

/ 12

List four (4) drugs you would use to safely intubate this patient, with doses and timing.

(Marked out of 10.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Drug</th> <th>Dose</th> <th>Timing</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> <td></td> </tr> <tr> <td>2.</td> <td></td> <td></td> </tr> <tr> <td>3.</td> <td></td> <td></td> </tr> <tr> <td>4.</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 10

Total Score: 0 / 30

Percentage: 0%