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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 – Systematic Approach to the Peripheral Vascular Exam