Shock, syncope, sweating… and severe chest pain!

ECG Exigency Thumbnail

A 67-year old male is brought to hospital by ambulance with severe chest pain, sweating, vomiting and syncope. There is something deeply worrying on his ECG… Can you make the diagnosis that will save his life?

The power of social media leads to reversal

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A reader (Christopher Watford) recently contacted the LITFL team with a query regarding a Visual Aid Question (VAQ) from the first sitting of the 2007 examination. So the team set about investigating the validity of the query using the power of social media…

Clinical Quiz 024

FACEM VAQ

A 25 year old man presents to the emergency department with a three day history of spreading rash and painful oral lesions. He has the following observations:

ECG Quiz 033

FACEM VAQ

A 54 year old man presents to your rural emergency department with chest pain. An initial ECG reveals an inferior STEMI. Fifteen minutes after receiving intravenous thrombolysis the following ECG is taken.

Investigation Quiz 025

FACEM VAQ

A 30 year old man undergoes a lumbar puncture in the emergency department for investigation of fever, headache and vomiting.

Radiology Quiz 031

FACEM VAQ

A 23 year old man has been brought to your emergency department after a fall onto his outstretched right hand from a height of three metres.

ECG Quiz 032

FACEM VAQ

A 50 year old man presents following an episode of palpitations and syncope.

Trauma Quiz 018

FACEM VAQ

A 28 year old male driver is involved in a high speed motor vehicle accident. He is complaining of chest and abdominal pain

Investigation Quiz 024

FACEM VAQ

A 3 month old girl is brought to your emergency department after three days of diarrhoea and vomiting. She appears very unwell and lethargic, with sunken eyes, a sunken fontanelle and dry mucous membranes

Paediatric Quiz 020

FACEM VAQ

A 4 year old boy is brought to your emergency department following an injury sustained to his right eye from a small rubber ball thrown by his brother earlier that day