Author: Zaina Soogun-Shah / Editor: Sarah Edwards / Codes: CC3, SLO3, SLO6 / Published: 08/07/2023
A 70-year-old man presents to Emergency Department (ED) with acute shortness of breath and significantly reduced exercise tolerance over the last few days. He had travelled from Leicester to London for his son’s graduation 3 days ago. Today, he is also experiencing light-headedness and nearly blacked out when mobilising earlier. He denies any chest pain or palpitations. He has a past medical history of an ischemic stroke 10 years ago that has left no residual deficits. His medications include a statin and aspirin 75mg. He is usually independent of all activities of daily living, goes out and gets his own shopping.
At triage, his heart rate (HR) is 38bpm, blood pressure (BP) 120/60, Respiratory Rate(RR) of 18, with normal oxygen saturations on air. He is afebrile.
Module Content
Bradycardias
This session deals with the assessment and management of bradycardias in the ED.
Pacing in the ED
Our curriculum mentions pacing, and we all think that we know all about that as we’ve got ALS… right? Some of our brief discussions on twitter highlighted that pacing can be more complicated than ALS implies, and actually isn’t very common in ED.
Acute Coronary Syndromes
This session is about the pathophysiology of acute coronary syndromes, defining acute myocardial infarction and recognising the various presentations and clinical features associated with acute coronary syndromes.
7 Comments
Excellent review
Good review
Good review . Very important daily presentation to A&E.
Thank you
Good case. This is core Emergency Medicine. Good questions, with just enough ‘tempting but incorrect’ answers in the MCQ to make sure you are paying attention!
Rhythm strip would be very helpful with the ECG
Excellent review