A 26-year-old Vietnamese man with no English is brought to the emergency department after syncope. Your registrar reports normal blood tests, including urea and electrolytes and troponin, and says the patient is well. The registrar attributes the episode to vasovagal syncope and would like to discharge him.
The registrar notes a right bundle branch block, says it is not concerning, and asks you to sign off the ECG because departmental policy requires a consultant ECG review during office hours. The ECG is shown below.
12-lead ECG
State two (2) educational points for the registrar regarding the ECG.
(Marked out of 2.0)
/ 2
With a Vietnamese interpreter present, list two (2) important questions you would ask the patient.
(Marked out of 2.0)
/ 2
The patient feels faint while an ECG is being performed. The registrar asks for procainamide to be available, having read it may be more effective than amiodarone for VT. Give three (3) educational responses to this suggestion.
(Marked out of 3.0)
/ 3
The symptoms resolve, no ECG captures the event, and the patient now feels well and wants to discharge himself. State three (3) points you would make to the patient.
(Marked out of 3.0)
/ 3
Total Score: 0 / 10
Percentage: 0%
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