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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)