rx of cardio-resp emergencies

Question 1

75 year old man with crushing central chest pain for one hour and ST elevation in the anterior leads of his ECG. He had a previous myocardial infarction 6 months ago.

Answer 1

primary angioplasty

Question 2

82 year old female who suffers a cardiac arrest whilst in the A & E Department. The monitor shows asystole.

Answer 2

adrenaline 1mg IV

Note that you should NEVER give IV Adrenaline to anyone with a pulse, which is why IV adrenaline is not the
answer for the next question about anaphylaxis. Also note that resuscitation guidelines change every few years
and tend to switch between recommending IV Adrenaline or Atropine, with the mark scheme reflecting this so
be sure to double-check which is in vogue.

Question 3

24 year old female who presents with wheeze and a rash following ingestion of shellfish.

Answer 3

hydrocortisone

Question 4

36 year old male who presents with crushing central chest pain and sudden onset of a new broad complex tachycardia. On examination he is clammy tachypnoeic and has a BP of 90/30

Answer 4

Synchronised DC Conversion 100J

Question 5

67 year old male who is brought into A+E after having an out of hospital cardiac arrest, the monitor shows ventricular fibrillation.

Answer 5

Defibrillation 200J