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Abdominal and chest pain

by on September 10, 2016

59 yo male pt called ems, he states that he has had abdominal pain for 2 day and today started having chest pain that is getting worse. 8/10 pain. BP 102/70 skin is warm and dry. During transport pt has 2 syncopal episodes. Crew drops off patient at ER. Pt receives 325mg ASA and NTG SL x3 and a total of 10mg MS for pain. He is also given 2000ml Normal Saline. Air medical transport is called for transport to a PCI center for intervention.

inferior-mi2

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From → Case File

One Comment
  1. JHT permalink

    Not a good patient to give pre-loading medications too. This most likely caused the syncope.

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