Round 11 (MW) Chest Pain
EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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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)