Acute Coronary Syndromes

The quiz
You are in the Emergency Department when a 54-year-old male arrives rubbing the center of his chest. He states "it feels like someone is sitting on my chest." He appears pale and his skin is diaphoretic. His radial pulse is strong, but fast. His blood pressure is 130/80 with a pulse ox of 92% on room air. He has no past medical history and takes no medications except for Tylenol for an occasional headache. He has no allergies. You take him back to a room, place in on the monitor and gain IV access.

about 3–5 minutes