EMERGENCY MEDICINE SAEM EXAM
COMPREHENSIVE SCRIPT 2026 FULL STUDY
GUIDE COMPLETE RESPONSES
◉ sudden on set severe chest pain that rips through to the back;
unequal blood pressures on PE
classic presentation of ___________________ Answer: aortic dissection
◉ How does cardioversion work? Answer: used to stop
tachyarrhythmias --> the impulse is delivered at the peak of an R
wave (prevents going into v fib)
◉ What are 5 indications for cardioversion? Answer: 1. ventricular
tachycardia with a pulse
2. supraventricular tachycardias with hypotension
3. atrial fibrillation
4. atrial flutter
5. AVNRT
◉ What are three indications for defibrillation? Answer: ventricular
tachycardia without a pulse
, ventricular fibrillation
torsades de pointes without pulse
◉ What are five indications for ICD? Answer: 1. hx of sudden cardiac
death
2. Brugada syndrome
3. CHF patients with EF < 35% on max medical therapy
4. long QT syndrome
5. hypertrophic cardiomyopathy
◉ CPR should be conducted with chest compressions and breaths
via bag mask in this ratio Answer: 30 chest compressions then 2
breaths
(if intubated then continuous compressions and 1 breath every 6
seconds)
◉ Describe high quality chest compressions Answer: 100-120
compressions per minute at a depth of 2 to 2.4 inches
patient on hard surface or back board
COMPREHENSIVE SCRIPT 2026 FULL STUDY
GUIDE COMPLETE RESPONSES
◉ sudden on set severe chest pain that rips through to the back;
unequal blood pressures on PE
classic presentation of ___________________ Answer: aortic dissection
◉ How does cardioversion work? Answer: used to stop
tachyarrhythmias --> the impulse is delivered at the peak of an R
wave (prevents going into v fib)
◉ What are 5 indications for cardioversion? Answer: 1. ventricular
tachycardia with a pulse
2. supraventricular tachycardias with hypotension
3. atrial fibrillation
4. atrial flutter
5. AVNRT
◉ What are three indications for defibrillation? Answer: ventricular
tachycardia without a pulse
, ventricular fibrillation
torsades de pointes without pulse
◉ What are five indications for ICD? Answer: 1. hx of sudden cardiac
death
2. Brugada syndrome
3. CHF patients with EF < 35% on max medical therapy
4. long QT syndrome
5. hypertrophic cardiomyopathy
◉ CPR should be conducted with chest compressions and breaths
via bag mask in this ratio Answer: 30 chest compressions then 2
breaths
(if intubated then continuous compressions and 1 breath every 6
seconds)
◉ Describe high quality chest compressions Answer: 100-120
compressions per minute at a depth of 2 to 2.4 inches
patient on hard surface or back board
