Pre-hospital setting

Paramedics Case Study essay .

Discussion:

You are attending a 55 year old male at an outlying medical centre 2 hours from the city. He is cold, clammy, short of breath and complaining of central chest pain. His pulse is 130, blood pressure is 83/51, lung fields: bilateral crackles, SpO2: 93% ORA, a third heart sound is audible. ECG reveals ST segment elevation in leads V2 to V4. His only medical history is high cholesterol and has been non – compliant in taking medication to treat it.

Q1- What is the diagnosis?
Q2-How would you classify this patients haemodynamic status?
Q3-Outline best management of this patient including equipment, procedures, drugs and quantities/sizes. Justify your choices with relevant clinical evidence.
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