Round 30 (Chest Pain)

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 – Acute Limb Ischemia EMDocs – Systematic Approach to the Peripheral Vascular Exam