Round 11 (MW) Chest Pain

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)