Emergency · Data interpretation

Chest pain, sitting forward

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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R F M H

2 min reading · 10 min station · reminders at 2 min

Instructions

You are a medical student on placement in the emergency department. Tom Halloran, 27, has had two days of sharp central chest pain, worse lying flat and better sitting forward, a week after a cold. T 37.8, HR 96, BP 124/78, SpO2 98%.

  1. Interpret the ECG provided

  2. Outline to the examiner:

    • Your most likely diagnosis and differentials
    • Next steps in management, including relevant investigations
  • You do not need to take a history or examine the patient
  • The examiner will ask you a question at the end

ECG

Twelve-lead electrocardiogram recorded at 25 mm/s
James Heilman, MD, Wikimedia Commons - CC BY-SA 4.0
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Investigations

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