SAQ 1796 – Drowsy patient with ECG before intubation

Marked out of 10.00

A 38-year-old woman is brought to ED by her husband. She was initially agitated, is now drowsy, and has GCS 13. An ECG is shown.

You note a wide-complex tachycardia. Her GCS then falls to 10 and you decide to intubate. Observations are HR 120/min, BP 95/70 mmHg, oxygen saturation 98% on a non-rebreather mask, RR 30/min and temperature 36.8 C. A 500 mL normal-saline bolus has been commenced.

ECG for drowsy patient before intubation
ECG.

Describe the two other important ECG findings.

(Marked out of 2.0)


/ 2

State the likely diagnosis.

(Marked out of 1.0)


/ 1

List the medications you would give during the next 5-20 minutes before and during intubation, including doses where appropriate.

(Marked out of 5.0)


/ 5

After intubation she has a generalised seizure. What medications would you give at this point?

(Marked out of 2.0)


/ 2

Total Score: 0 / 10

Percentage: 0%