You are the anaesthetist on call in a tertiary hospital. It is after-hours and you are still on site.
You are called to the Cardiac Catheterisation Laboratory to assist with the care of a 73-year-old man who is undergoing an urgent coronary angiogram after presenting to the emergency department an hour earlier with an ST-segment elevation myocardial infarct. His management was expedited as a "code STEMI".
You are informed that he was initially stable and neurologically intact on arrival to hospital but is now hypotensive with a blood pressure of 73/48 mmHg, and is agitated and moving around.
Sections covered in this viva
Assessment and management of an unstable patient in the cardiac catheterisation labProvision of safe care to an unstable patient requiring urgent transfer to theatre for emergency CABGAssessment and management of a deteriorating patient immediately post cardiac surgery