Here’s an awesome case submitted by Nathan Stanaway of Grady EMS in Atlanta, GA.
The patient is a 53 year old female c/o chest discomfort and mild dyspnea.
The pain is described as “severe” and she gives the pain a 10/10.
Past medical history is significant for migraine headaches and anxiety.
Patient is a poor historian and does not know what meds she takes.
Drug allergy: ASA
The patient is found sitting in a car in the middle of the road.
Skin: pale and very diaphoretic.
RR: 24 shallow
HR: 84 R
SpO2: 98 on RA
Breath sounds: clear bilaterally.
A 12-lead ECG is captured.
What should the paramedic do next?