Author: Steve Corry-Bass / Editor: Andrew Tabner / Reviewer: Andrew Tabner, Haitham Hodhod / Codes: ACCS LO 1, CC1, CC3, CP1, CP3, RP3, RP7, SLO3, SLO6 / Published: 07/02/2020
A 33-year-old male presents to the emergency department (ED) with a one hour history of feeling as though his heart is racing. Over the past 10 minutes he has started to develop some discomfort in the centre of his chest. Recently he has had some diarrhoea and vomiting. He has no other symptoms. He looks pale and clammy.
He has no significant past medical history and takes no regular medications.
Observations:
Temp – 36.4oC
HR – 193/minute
RR – 21/ minute
Sats – 99% (room air)
BP – Unable to record (cuff cycling)
His ECG is shown:
19 responses
Interesting, history is important
Good case
Another interesting case of Arrhythmia. Clinically stable or unstable decides
Good case. Makes you realise key for adverse signs affect judgement route.
Good immediate decision making question
Great stuff love this learning
Good to look at the patient, adverse features then shock.
good one !
Interesting case, must ensure decent sedation to ensure patient is comfortable before shocking!!
I agree with Matt some midazolam first!
Good refresher of Tachyarrhythmia management in unwell patient
Good refresher
good one
In line with ALS guidelines
quick case
vt In Shock
good short history case
good case
A common presentation in ed,interesting case