ACLS Megacode 7: STEMI

Pt arrives to ED/Casualty with diaphoresis, midsternal chest pain radiating to left arm and jaw.

Pt is a 54 y/o male, smoker, c/o chest heaviness ,diaphoresis, nausea present to ED/casualty via paramedics.

IV placed an EKG has been done in Triage.

62 y/o woman with diabetes presents to ED/Casualty with epigastric discomfort, nausea and vomiting.

BP: 150/80 P: 85 R:22 O₂: 100% Temp: 36.7

After she is seen by the Surgical resident, she develops hypotension BP 90/50 and an ekg is performed.

On the next rhythm check, the patient demonstrates the following rhythm:

She now has a palpable pulse but is hypotensive, unresponsive, and hypoxic.

After cardioverting and intubating, you get an EKG which demonstrates the following:

You re-assess the patient and cannot palpate a pulse.