55-year-old male, smoker (30 pack-years), presents to the ED with crushing substernal chest pain that started 45 minutes ago. Radiates to the left arm. Diaphoretic and nauseated.
Crushing chest pain, rated 8/10, with nausea and diaphoresis. Patient is clutching his chest and appears pale.
The patient arrives at triage. He is pale, diaphoretic, and clutching his chest. Pain is 8/10.
"It feels like an elephant is sitting on my chest... I can't breathe right..."