00:03
Hey Chris on 416 , coming to you guys.
00:08
We're in number (number withheld) .
00:12
Medical 6363 male, chief complaint of chest pain.
00:20
Thanks for calling off your prior residence for this patient.
00:23
He is a hemodialysis patient.
00:24
Goes Tuesday through Thursday.
00:26
Completing his last treatment Thursday.
00:28
He said that he was lying by trying to sleep this evening.
00:31
When he woke up with a sudden onset of chest pressure, substernal, non-radiating, eight out of ten.
00:39
He's not having any cardiac history, so he's went to bed feeling normally.
00:43
He also does have an associated dry cough with that chest pain.
00:47
No nausea, vomiting, weakness, dizziness, shortness of breath.
00:53
Vitals are all stable.
00:54
Twelve leads, sinus rhythm at 80 .
00:56
Six, no ST elevation or depression noted.
00:59
He was setting ninety-two percent on room air, so I do have him on two liters.
01:03
That's got him up to ninety-eight percent.
01:05
We did give 300 and twenty-four of aspirin, .4 of nitro.
01:09
Since the pain is currently still at the same, so we'll probably repeat that nitro and look for IV access.
01:13
No other treatment is indicated.
01:14
Anything else I can tell you?
01:17
Is there? You said twelve lead with sinus.
01:20
That's affirmative.
01:21
Sinus rhythm on the right bundle branch.
01:23
No ST elevation or depression noted.
01:26
Sounds good. I'll see you guys inside.
01:27
We can hear a nightfinder.
Medical Emergency
