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;

IMG_5792.jpeg

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?