SAQ 817 – Cardiology – chest pain arrest with tamponade on POCUS

Marked out of 12.00

At morning handover you take over care of a 63-year-old man with untreated hypertension who presented overnight to your non-tertiary ED with central chest pain radiating to his left arm. His arrival observations were BP 175/100 mmHg, RR 22, SaO2 95% on room air and temperature 36.2 C. His arrival ECG and resuscitation POCUS image are shown below.

Arrival ECG from a patient with chest pain.
Arrival ECG
Resuscitation cardiac POCUS image.
Resuscitation POCUS

State two (2) abnormal findings on the ECG.

(Marked out of 2.0)


/ 2

His troponin is elevated and he has been accepted for CCU transfer after antiplatelets and enoxaparin. During handover he is found unresponsive without cardiac output. State three (3) management-changing utilities of point-of-care or resuscitative ultrasound in this case.

(Marked out of 3.0)


/ 3

List three (3) important findings on his POCUS examination.

(Marked out of 3.0)


/ 3

List two (2) important differential diagnoses for the above pathology in this case.

(Marked out of 2.0)


/ 2

State two (2) specific strategies for using POCUS in the emergency management of the above pathology.

(Marked out of 2.0)


/ 2

Total Score: 0 / 12

Percentage: 0%

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