MedBugs: SAQ #40

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Case: Weakness after vomiting and diarrhoea

A 64-year-old male presents to your emergency department feeling generally unwell. He has been troubled with profuse vomiting and diarrhoea, minimal oral intake and is now feeling globally weak. His observations are: Temp 36.8, HR 120, BP 104/75, RR 20, Sats 95% RA

1. List (3) pertinent features of this ECG. 3 marks

2. What is the most concerning diagnosis? 1 mark

The emergency buzzer sounds from that patient’s bedspace. You attend immediately and find the patient unresponsive with no palpable pulse. Good quality CPR is commenced and the airway is supported.

3. List (4) specific treatment modifications that you would make to the standard ALS algorithm in this case. 4 marks

4. Complete the table below with (5) examples of cardiac arrest in special circumstances and modifications you would make to the standard ALS algorithm. 10 marks

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Case: Weakness after vomiting and diarrhoea

1. List (3) pertinent features of this ECG. 3 marks

2. What is the most concerning diagnosis? 1 mark

3. List (4) specific treatment modifications that you would make to the standard ALS algorithm in this case. 4 marks

4. Complete the table below with (5) examples of cardiac arrest in special circumstances and modifications you would make to the standard ALS algorithm. 10 marks

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