SAQ 1126 – cold-water immersion with abnormal ECG

Marked out of 13.00

A 40-year-old man is brought to the ED after being swept into rough winter water while rock fishing. He has a right forehead contusion.

His observations are GCS 5, HR 48 bpm, BP 105/70 mmHg, RR 12/min, SpO2 94% on room air and temperature 28 degrees C. The 12-lead ECG is shown below.

12-lead ECG after cold-water immersion.
12-lead ECG.

List the key ECG features.

(Marked out of 2.0)


/ 2

List five (5) important aspects to consider during initial resuscitation.

(Marked out of 5.0)


/ 5

Describe how you would rewarm this patient, including triggers for invasive rewarming measures.

(Marked out of 6.0)


/ 6

Total Score: 0 / 13

Percentage: 0%