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)