SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Opioid overdose

A 25-year-old man arrives by ambulance to your ED following a suspected overdose. He wasfound at home, unconscious, with pinpoint pupils and shallow respiration. Paramedics treated him with 400mcg naloxone IM injection with good response. En route to your tertiary ED, he became drowsy again. His current observations are :

  • GCS 11
  • RR 8 breaths per minute
  • BP 140/70
  • Sats 94% RA

Opioid overdose

1. Outline your (4) management priorities for this patient. 4 marks

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2. What is the main abnormality demonstrated? 1 mark

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3. What is the likely cause in this patient? 1 mark

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4. List (4) other causes of this ECG abnormality. 4 marks

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5. List (2) reasons a standard urine drug screen would NOT be useful in THIS patient. 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.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

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.