SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: MI thrombolysis

A 50-year-old man presents to a peripheral ED without access to cardiac catheterisation with 1.5 hours of chest pain, hypotension and diaphoresis. Vitals are as follows : GCS 15 HR 90 BP 90/60 RR 20 Sats 98%RA T 37°C Weight 85kg.

MI thrombolysis

1. List two relevant abnormalities on the ECG and state the likely diagnosis. 3 marks

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You make the decision to thrombolyse the patient.

2. What thrombolytic agent will you use? Give your dose and instructions for delivery. 2 marks

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3. State five other management priorities for this patient. 5 marks

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4. What does the post-thrombolysis rhythm shown and how would you manage it? 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.