An 80-year-old woman presents by ambulance from her GP after 24 hours of vomiting and two syncopal episodes. Ambulance staff noted bradycardia. She has no chest pain, recently received antibiotics for a chest infection, and has started a new medication for memory.
The ambulance rhythm strip and arrival ECG are shown below.
| Observation |
Value |
| GCS |
15 |
| HR |
76/min |
| BP |
85/30 mmHg |
| RR |
18/min |
| SpO2 |
96% room air |
Ambulance rhythm strip.
Arrival ECG.
List three relevant findings from the 12-lead ECG.
(Marked out of 3.0)
/ 3
List three causes of the ECG abnormalities in this patient.
(Marked out of 3.0)
/ 3
List your management priorities.
(Marked out of 4.0)
/ 4
She again becomes bradycardic to 35/min with BP 75/30 and the rhythm matches the initial ambulance strip. What is the likely diagnosis?
(Marked out of 1.0)
/ 1
You decide to initiate transcutaneous pacing for transfer to ICU. Outline your approach.
(Marked out of 5.0)
/ 5
Total Score: 0 / 16
Percentage: 0%
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