07.02.2023 - By Zack Olson, MD and Michael Estephan, MD
You are working at Clerkship Rural when the nurse hands you your next chart to see. It’s a 59 year old farmer with chest pain.
Initial Vitals:
BP: 156/97
HR: 110
RR: 22
O2: 98% (Room Air)
Temp: 98.8F
Critical Actions:
* Give Aspirin, Nitroglycerin, and Heparin
* Identify Posterior STEMI
* Assess for Thrombolytic Contraindications and Consent
* Transfer for PCI
* Diagnose Accelerated Idioventricular Rhythm (AIVR)