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)