Round 3 (Chest Pain)

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction An ill appearing patient has been rushed back from the lobby, clutching his chest, you are needed immediately at the bedside… Initial Vitals * Temp 99.1* HR 95* RR 20* BP 120/80* O2 98% Courtesy of LITFL Medical Blog https://creativecommons.org/licenses/by-nc-sa/4.0/ Critical Actions * Obtain Early EKG* Notify Cardiology of Inferior STEMI* Bring Crash Cart to Bedside* Administration of Heparin* Counsel the Family Dangerous Actions * Giving Nitroglycerine to Patient with Inferior MI and on Sildenafil* Giving Aspirin to Patient with Allergy to Aspirin Final Diagnosis Cardiac Arrest due to Inferior STEMI Tips and Tricks Ask about allergies prior to administering medications Additional Reading * Approach to STEMI (EM Clerkship)* American Heart Association STEMI Guidelines (AHA)