I’ve been told by one of my wise mentors that if “your patient is sweating, you should be sweating”. Well, someone must have turned on the heater in the entire ER…
EMS called a STEMI notification for a 62 y/o M with chest pain radiating to his back. On arrival, they hand us this EKG:
The patient’s triage vitals were BP 82/44, HR 110bpm, RR 24, SaO2 88% on 3L O2. He complained of chest pain radiating to his back for 5 days, but now only had back pain. His medical history was significant for AIDS and HTN. He is diaphoretic and visibly dyspneic. The nurse hand you this next EKG:
What do you do next? Is this patient having a STEMI? An aortic dissection? Do you go to the CT scanner? Or to the cath lab?
Leave your thoughts below, and check back in 1 week to see what happened…
By V.Nguyen @himynameisvince
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