SAQ Stack

Short Answer Questions for ED Fellowship Study

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.

Syncope

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

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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

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

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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

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