A 74-year-old man has presented via ambulance to your tertiary ED with shortness of breath and chest pain for the last 2 days. He has a history of type 2 diabetes mellitus and ischaemic heart disease, having had a stent in his right coronary artery 6 years ago.

SOB and chest pain

1. Provide (4) abnormalities shown on the ECG and your overall interpretation. (5 marks) 5 marks

Vital signs: GCS 15 HR 110 BP 70/30 RR 40 SpO2 90% 6L HM No murmur, full field crepitations, cool peripheries and a weak peripheral pulse.

2. State (7) components of your management in the ED. (7 marks) 7 marks