EMS is called to the residence of a 82 year old female complaining of “flu-like” symptoms, including vomiting x 4-5 hours.
On arrival, the patient is found sitting on her bed alert and oriented to person, place, time, and event.
The patient’s skin is pale but warm and dry.
Past medical history: Breast CA, double mastectomy, HTN, hyperlipidemia
Meds: Unknown antihypertensives
The cardiac monitor is attached.
Upon questioning the patient admits to chest discomfort and mild dyspnea.
Onset: 4-5 hours ago
Provoke: Nothing makes the pain better or worse
Quality: Described as “discomfort” and “rock-like”
Radiate: The pain does not radiate
Severity: Patient gives the pain a 8/10
Time: No previous similar episodes
A 12-lead ECG is captured.