MedBugs: SAQ #287

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Case: Syncope at work

A 60-year-old man presents with a syncopal episode whilst at work. He is unable to describe any preceding symptoms and recalls his colleagues standing around him when he regained consciousness. He is currently asymptomatic.

1. List four abnormalities found on this ECG. 4 marks

After your initial assessment, your patient deteriorates and becomes markedly bradycardic. GCS 13, HR 28, BP 70/40, SaO2 88% RA, RR 28, T 36.5

2. List two reversible causes of his bradycardia. 2 marks

3. Outline six steps in management for this patient. 6 marks

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Case: Syncope at work

1. List four abnormalities found on this ECG. 4 marks

2. List two reversible causes of his bradycardia. 2 marks

3. Outline six steps in management for this patient. 6 marks

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