All stations
Cardiology
Intermediate
12 minute stationCentral Chest Pain, 58-Year-Old Male
Dispatch
Cat 2 — 58-year-old male, central chest pain radiating to left arm, sweaty, at home.
On arrival
Patient seated, clammy and clutching his chest. Wife reports pain started 40 minutes ago while gardening. He took his own GTN spray with no relief.
Initial observations
- Airway
- Patent, speaking full sentences
- RR
- 22, equal air entry
- SpO2
- 96% on air
- Pulse
- 104 regular
- BP
- 148/92 mmHg
- 12-lead ECG
- Acquired — interpret the strips below
12-lead ECG — leads II, III and aVF
Acquired 4 minutes after arrival, standard calibration 25 mm/s, 10 mm/mV.
Interpret the trace yourself — the mark sheet expects your rate, rhythm, axis and ST analysis, not a written finding.