61 YOM. Syncopal episode getting into car witnessed by wife- brief <30 seconds. This was followed by 8/10 chest pain (described as pressure mid sternum). Hx included kidney disfunction, patient was aware he had a BBB but said nothing more, and no prior MIs. Patient was pale, diaphoretic, and A/Ox4 on arrival. Vitals are: HR 80-90, BP 116/64, RR 20, SPO2 was 88RA and 95% 4L/NC. BGL 154, Temp 98.4.
En route- ASA, NTG/SLx2, Fent 50mcg.
4/10 chest pain was the only change.
Called it in as a STEMI. Transmitted to ED. Once in the ED, receiving physician said he didn’t have enough to activate a STEMI alert and would consult with cardiology. Requested a patient follow up through EMS liaison.
I need help filling in the gaps between the duck that I saw quacking vs the bird the physician heard quacking and a possible explanation in the Ekg on what information the physician was lacking?
61 YOM. Syncopal episode getting into car witnessed by wife- brief <30 seconds. This was followed by 8/10 chest pain (described as pressure mid sternum). Hx included kidney disfunction, patient was aware he had a BBB but said nothing more, and no prior MIs. Patient was pale, diaphoretic, and A/Ox4 on arrival. Vitals are: HR 80-90, BP 116/64, RR 20, SPO2 was 88RA and 95% 4L/NC. BGL 154, Temp 98.4.
En route- ASA, NTG/SLx2, Fent 50mcg.
4/10 chest pain was the only change.
Called it in as a STEMI. Transmitted to ED. Once in the ED, receiving physician said he didn’t have enough to activate a STEMI alert and would consult with cardiology. Requested a patient follow up through EMS liaison.
I need help filling in the gaps between the duck that I saw quacking vs the bird the physician heard quacking and a possible explanation in the Ekg on what information the physician was lacking?
