A 46-year-old man is in radiology adjacent to the ED for a chest X-ray. He is 3 days post-CABG and an inpatient on the surgical ward. You attend an ALS call because he is increasingly short of breath. His wound is intact and uninfected. Vital signs are temperature 36.9 degrees C, GCS 15, HR 115/min, BP 90/52, RR 30/min and SpO2 95% on FiO2 0.50.
He is moved to the ED resuscitation bay. Monitoring is attached, IV access is obtained and routine bloods are taken. A CXR has been ordered. He then has a witnessed ventricular fibrillation arrest with pads already in place. After 5 minutes he achieves ROSC. The post-arrest ECG does not show STEMI. Observations are temperature 36.9 degrees C, GCS 6, HR 70/min, BP 110/52, RR 12/min and SpO2 99% on FiO2 1.0.
List the four (4) most likely causes of his symptoms.
(Marked out of 4.0)
/ 4
List and justify three (3) other bedside tests you would prioritise.
(Marked out of 6.0)
/ 6
List four (4) specific key steps in your systematic approach to managing cardiac arrest in this context.
(Marked out of 4.0)
/ 4
For post-arrest management, provide three (3) priorities matched with appropriate endpoints or targets.
(Marked out of 6.0)
/ 6
Total Score: 0 / 20
Percentage: 0%
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