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Crit-Cases

A 57 year old male presents to the emergency department in a peripheral hospital with 2 hours of central crushing chest pain. He is sweaty and grey.

Answer the following questions

Question 1
Question 2
Question 3
Question 4
Question 5

Interpret the following ECG

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Figure 1

His blood pressure is 80/45 with a pulse rate of 110. The following ECHO loop is recorded. Describe the findings

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ECHO Loop 1 ECHO Loop 2 ECHO Loop 3

Angiography is not available at this hospital. Describe how you will manage this patient.

Despite this treatment he remains cold peripherally and his urine output is poor. You decide to put in a balloon pump. Describe how you will do this.

After initial stabilisation, the blood pressure and cardiac output fall. The following trace is recorded from the balloon tip pressure transducer. Describe your findings

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Figure 2