SAQ 1627 – Chest pain with ECG and chest X-ray

Marked out of 24.00

A 65-year-old man presents to your tertiary ED with three hours of central chest pain.

His ECG is shown below.

Later he looks pale and sweaty and has severe shortness of breath. His chest X-ray is also shown below.

His vital signs are GCS 14 (E4 V4 M6), BP 80/45 mmHg, RR 32/min, and oxygen saturation 85% on 15 L oxygen via non-rebreather mask. You decide that intubation is required as part of further management.

ECG for patient with chest pain
ECG.
Chest X-ray after clinical deterioration
Chest X-ray.

List five ECG abnormalities.

(Marked out of 5.0)


/ 5

State your overall ECG impression, including the clinical relevance.

(Marked out of 2.0)


/ 2

State five key components of initial management.

(Marked out of 5.0)


/ 5

Interpret the chest X-ray, supported by three radiological abnormalities.

(Marked out of 4.0)


/ 4

List four potential peri-intubation difficulties and, for each, give one specific mitigation strategy.

(Marked out of 8.0)


/ 8

Total Score: 0 / 24

Percentage: 0%