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Here's your scenario: Your unit is dispatched at 0200 for a 43-year-old male with a chief complaint of chest pain. Upon your arrival, you find him sitting forward in a chair in the living room. The patient states that the chest and left arm pain has subsided now. According to the patient, the pain began approximately 20 minutes ago. The patient appears slightly pale but not diaphoretic. His clothing though is slightly damp. The patient has no significant medical history and takes no medications. The patient is unsure if he really wants to go to the hospital because the pain has subsided significantly.
Vital signs include: BP: 156/90 Respirations: 24, slightly labored Pulse: 68 regular
After running a 12-Lead on your monitor, it shows the following ECG rhythm:
How would you manage this patient?
- Show the patient a copy of his ECG and encourage the patient to go get some rest because it is late.
- Encourage the patient to seek physician evaluation tomorrow.
- Strongly encourage the patient to seek physician evaluation now and transport via ambulance.
- For medical - legal purposes, obtain a written and signed refusal of service from the patient.