Man with fatigue and vomiting possibly bleeding hospitalized

As discussed during the dispatch call, an EMS unit in Germantown reports treating a 60-year-old man with fatigue, vomiting with possible coffee-ground emesis, abdominal pain, and mild shortness of breath. His vital signs are relayed to the hospital, and the crew notes possible cardiac changes on a 12-lead EKG while en route to an emergency department.