Round 30 (Chest Pain)

You are working a shift at Clerkship General Hospital when you go see your next patient, a 70 year old male presenting with chest pain.



Initial Vitals



* Temp 98.7* HR 140* RR 20* BP 125/85* O2 99%



Critical Actions



* Obtain EKG* Treat AFib RVR via rate control (and not cardioversion)* Diagnose Acute Arterial Occlusion* Treat with Heparin* Consult Vascular Surgery for further management (possible thrombectomy, bypass, etc)



Further Reading:



EMDocs – Acute Limb Ischemia



EMDocs – Systematic Approach to the Peripheral Vascular Exam