You are catching up on some charts in the resuscitation area of your ED when your triage nurse pushes in a 37 yo M with no PMHX, who presented to your ED complaining of sudden onset lightheadedness and L sided chest pain about 10 minutes PTA while at rest. No prior episodes. No CAD risk factors. No illicit drug use. No family risk factors. The patient appears uncomfortable, diaphoretic and is clutching his chest.
Vitals at Triage:
SpO2 100% NRB
As your patient is being attached to the monitor, you quickly assess ABC’s and perform a rapid exam. The patient is protecting his aware, lungs are clear bilaterally, and his hands feel cool. He’s AAO3.
Your ER tech then hands you this…