Case 2
A 72 year old man has been brought to ED by ambulance. The paramedics have pre-notified you that the patient is complaining of central crushing chest pain. They are worried that he is very unwell and request a team to be on standby in resus to receive them.
On arrival the patient is extremely short of breath. His observations are as follows;
RR 40
Sats 88% on 15 L NRM
HR 110 bpm
BP 75/40
Temp 36.8
GCS 13
This is his ECG;
Question 1
What clinical condition is the patient suffering from and what is the cause?
Question 2
What would you expect to find on CXR?
Question 3
What urgent procedure does this patient need?