Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of substernal chest pressure radiating to the jaw and epigastrium, associated with diaphoresis, nausea, and vomiting. Symptoms began [Time] ago. No prior history of similar symptoms. Denies recent trauma, syncope, or dyspnea.
Clinical Examination Findings
Patient appears in acute distress, diaphoretic, and pale. Vitals: BP [Value], HR [Value], O2 sat [Value]. Cardiac: Tachycardic/Bradycardic, regular rhythm, no murmurs, rubs, or gallops. Lungs: Clear to auscultation bilaterally. Abdomen: Soft, non-tender, non-distended. Extremities: No peripheral edema, pulses 2+ bilaterally.
Treatment Protocol
Immediate management initiated: Aspirin 324mg chewed, P2Y12 inhibitor administered. IV access established. Nitroglycerin sublingual (if BP stable, avoid if RV involvement suspected). Morphine/Fentanyl for pain control. Heparin bolus/infusion started. Emergent cardiology consultation for cardiac catheterization/PCI.