[Sdiver]

This one had us stymied. This is a call we ran today.

Got called to a Clinic for a 41 y/o male c/o CP.

Hx: 41 y/o Hispanic Male who came into the clinic to get checked out. Stated yesterday, he experienced substernal chest pain, radiating straight to is back at around 1000 hrs. Rated it as a 7 out of 10. Said that it lasted for about 4 hours. Said he took a Tylenol at 1400 hrs and that it resolved itself.

Went out and shoveled snow for about 3 hours. Didn't have any other complaints. Went to bed around 2200 hrs. At or about 0300 this morning, was awoken with the same pain, substernal radiating straight to back. Said he took a Tylenol, went back to bed and pain resolved itself. Awoke at 0600 with severe dyafaresius. Stated his bed sheets were soaked and that he went through 2 towels that his wife brought, just to dry off.

Denies any dizziness, SOB, nausea, vomiting, or any other pain.

At the clinic he stated he was pain free. No pertant past medical Hx. Is not on any medications. Does state that he has used Cocaine before in the past, but said he hasn't used it in years.

U/A, the clinic started an 18g IV NS Left hand, O2 2L NC, and had given him 324mg aspirin.

Vitals: Rate 112, BP 118/76, Resp 18

After loading him up on our cot and hooking him up to our monitor these are our strips.

Pic 1: Initial EKG
Pic 2: 1st 12 Lead
Pic 3: 2nd 12 Lead (taken a few seconds after 1st.

cont........