ABSTRACT

For each of the following presentations, select the most appropriate management plan. Each option may be used once, more than once or not at all.

1. A 67-year-old man presents to the emergency department with palpitations. He has known ischaemic heart disease and hypertension. On examination, he is pale and appears confused, and his hands are cool and clammy. His pulse is 160 beats/min and irregularly irregular, his blood pressure is 70/40 mmHg and his capillary refill time is 6 s.