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Report by Rupert Jackson, Specialist Registrar Search checked by Simon Carley, Specialist Registrar
A 76 year old man is brought into accident and emergency in a collapsed state. He has a history of ischaemic heart disease. He is agitated, tachypnoeic and sweating profusely. His neck veins are distended and there are widespread coarse crepitations in his chest. He has a …