00:00
Good morning, inbound on the 1st ER.
00:02
Now is a 69, 69 year old male coming from home.
00:06
Chief complaint is going to be mid sternum chest pain intermittently present for the last two to three days.
00:14
Says this morning's episode started around 2 h ago at rest.
00:21
Does have a cardiac history.
00:22
Had a double bypass about a year ago.
00:25
They have not followed up with a cardiologist since.
00:28
I did send over his 12-lead.
00:31
Initial one looks like there's some elevation in V3.
00:36
Questionable whether there's any reciprocal changes in V6.
00:39
And I don't really see any other leads that have some elevation.
00:44
He has had 324 of aspirin at this time as well as one sublingual nitro.
00:49
BP was 1. One hundred and forty-eight over seventy-two, I believe.
00:51
He is brady at fifty-nine.
00:54
A very occasional PVC.
00:58
He is ninety-five percent on room air.
01:02
Sugar was ninety-seven.
01:04
He is about three to five.
01:05
Any orders or questions?