Case 1
A 69 year old man is brought to the ED by his wife. He developed sudden onset chest pain radiating to his left arm while watching television 30 minutes previously. The pain is associated with nausea, vomiting and diaphoresis.
On arrival his HR is 90 bpm, RR is 24/min, BP 140/90 and SPO2 92% on RA. He is pale and clammy.
An ECG is performed at triage and is opposite.
Question 1
What emergency response should be initiated immediately?
Question 2
What symptomatic treatment do you initiate in the ED?
Question 3
What specific treatment do you initiate in the ED?