Chest Pain

What is the most common complaint with myocardial infarction?

In one study of 430,000 people diagnoised with AMI 33% had no chest pain

Atypical presentation of AMI is more prevalent in which of the following?

Chest pain that lasts greater than 20 or 30 minutes is more likely which of the following?

Angina Pectoris means literally "choking pain in the chest" and is a symptom of what?

You are dispatched for the chest pain. Upon your arrival you find a 58 year old male. He is alert and oriented x 3 and is complaining of right sided chest pain that is non-radiating. The patient's pain is reporoducible on palpation. The patient states his pain began after an argument with his wife about 2 hours ago. The patient rates his pain at a 7 of 10 and describes it as "Just Pain that wont go away".  The patient has a history of hypertension, diabetes, and arthritis. The patient is on Atenolol, Glucophage, Aspirin and Ibuprophen. No Allergies. Physical Exam: The patient is ambulatory and alert. The patient's pupils are Perl. The patient's skin color, temperature, and quality are all within normal parameters. Vital signs: BP 176/100  HR:  98  RR: 16 non labored. Lungs: Clear and equal Bilaterally. SPO2: 95% room air. Per our SOP's after initial medical care what would be the next most appropriate action?

For the previous patient what would be the next step in the SOP?

Same patient. Next step in the SOP.

Your 56 year old patient was complaining of chest pain. The patient is alert and oriented x 1 (person) and confused. The patient is normally fully alert per family. You have vitals of Bp: 80/58  Hr: 78  Rr: 16. Lungs: Bilateral rales Skin: Pale/cool/moist. Per the chest pain SOP under what SOP would you treat this patient at this time?