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Report by Rupert Jackson,Specialist Registrar in Emergency MedicineChecked by Steve Jones,Specialist Registrar in Emergency Medicine
A 76 year old man is brought in to the emergency department 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 …