ECG #19

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Describe and interpret this ECG. [expand title=”Interpretation”]   Rate: Atrial = 73 min-1 Ventricular = 73 min-1 Rhythm: Sinus P waves:   Duration = 80 ms Amplitude = 1 mV PR interval: Duration =  70 ms Morphology = Normal QRS complex: Duration = 156 ms Axis = -43° Q Waves: Nil R wave progression: Normal LV Hypertrophy [Sokolow; SV1 + (RV5 or RV6) > 35mm) or RI + […]

ED Notes Template

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The following word template can be used with the MR1A blue notes and printer on the main flight deck. ED Notes Template (Word Document) ED Notes Template Quick Reference Guide (PDF) You can save your draft notes onto a USB stick so that you can update it from any computer, but make sure that no patient identifiers (Name, DOB, UMRN) are contained within the […]

ECG #18

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Describe and interpret this ECG. [expand title=”Interpretation”]   Rate: Atrial = N/A Ventricular = 110 (88 – 167) min-1 Rhythm: Atrial fibrillation P waves:   Duration = N/A Amplitude = N/A PR interval: Duration =  N/A Morphology = N/A QRS complex: Duration = 144 ms Axis = 230° Q Waves: aVF R wave progression: Poor LV Hypertrophy [Sokolow; SV1 + (RV5 or RV6) […]

Blood Gas #21

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Describe and interpret this venous blood gas: History: A 37-year-old woman with a history of non-insulin dependent diabetes mellitus, alcohol dependence, and recurrent depressive episodes is found unconscious at home. On arrival to the emergency department she remains comatose (GCS 3), hypotensive (BP 90/60), and tachycardic (HR 106 beats/minute, sinus). Her initial VBG is as follows: pH 6.72 Na 138 mmol/L pCO2 48 mmHg K […]

Blood Gas #20

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Describe and interpret this arterial blood gas: History: A 62-year-old man presenting with chest pain and dyspnoea. He has a cardiac history and is peripherally oedematous. pH 7.50 Na 122 mmol/L pCO2 13 mmHg K 4.8 mmol/L pO2 68 mmHg (FiO2 0.21) Cl 101 mmol/L HCO3 10 mmol/L Glucose 20 mmol/L Albumin 27 g/L Lactate 6.1 mmol/L Urinary Na <10 mmol/L Urea […]

Blood Gas #19

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Describe and interpret this arterial blood gas: History: A 78-year-old woman presents 7 hours after ingestion of 2.4 g SR verapamil, 40 mg trandolapril and 8.4 g metformin. The patient is alert, with a systolic blood pressure of 60 mmHg. pH 7.15 Na 142 mmol/L pCO2 26 mmHg K 3.6 mmol/L pO2 110 mmHg (FiO2 0.21) Cl 119 mmol/L HCO3 9 mmol/L Glucose 9.7 […]