You are the on-duty consultant in a rural ED. A 66-year-old man arrives by ambulance after syncope while eating dinner at a local restaurant.
Initially he is awake and alert with central chest discomfort, and his observations are otherwise normal. His ECG is shown.
ECG
State four (4) abnormalities on this ECG.
(Marked out of 4.0)
/ 4
What are the most likely primary pathology and secondary complication?
(Marked out of 2.0)
/ 2
He then becomes unresponsive with BP 65/40 mmHg, HR 18/min, SaO2 90% with a poor trace and RR 10/min. Blood results include sodium 142, potassium 5.1, urea 8.2, creatinine 98, glucose 6.8 and high-sensitivity troponin 18. What is the likely cause of the sudden deterioration?
(Marked out of 1.0)
/ 1
He has adequate IV access and monitoring. Outline your immediate management priorities.
(Marked out of 5.0)
/ 5
Total Score: 0 / 12
Percentage: 0%
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