MedBugs: SAQ #477

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Case: Syncope

A 70 year old man has collapsed at the shops with chest pain. The ambulance service found him to be pale and confused with a heart rate of 35/min. They have commenced transcutaneous pacing. He has not received any other treatments.

1. Interpret the rhythm strip. (3 marks) 3 marks

His vital signs are:

GCS 14 E4 V4 M6
BP 80/40 mmHg

O2 sats 99% 15L O2 via non-rebreather mask He has poor peripheral perfusion.

2. State (4) potential actions you might employ to increase his BP. (4 marks) 4 marks

3. State (4) features of your history that will impact management. Include your rationale. (4 marks) 4 marks

The ambulance officer has shown you the limited ECG taken when they initially arrived at the scene. It is provided below.

4. Interpret the ECG findings (4 marks) 4 marks

5. State the (3) most important components of your management. (3 marks) 3 marks

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