Friday, 23 April 2010

74 year old female CC: Chest pain

74 year old female presents to EMS with a chief complaint of chest pain.

Onset approximately 1 hour prior to the 9-1-1 call.

No further details of the OPQRST are currently available. I will update the case with this information as soon as it is available, along with the physical exam.

Vital signs:

Resp: 20
Pulse: 56
NIBP: 97/57
SpO2: 100 on RA

Past medical history: HTN

Meds: Unkown

The cardiac monitor is attached.


A 12-lead ECG is captured.


What is your impression?

Would you call a STEMI Alert?

Why or why not?

What additional action(s) might you take?