ANZCA Final Exam Resources

Crises

Crisis Generator

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Generate Crisis!

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Stem

You are midway through a clot retrieval in the interventional radiology suite for a 75-year old patient with a left MCA ischaemic stroke. The procedure is being performed under light sedation. You suddenly hear the monitoring alarm go off due to a heart rate of 32 bpm.

Question 1

What do you do?

Question 2

What are the potential causes of this patient’s bradycardia?

Question 3

Crisis

Proposed Structure

Primary (ischaemic event, structural conduction problem)

Secondary

Metabolic (severe electrolyte derangement, severe acidosis)

Autonomic (vagal response, elevated ICP)

Anaesthetic (drug response or error, paradoxical response in anaphylaxis)

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