Participant is working in outpatient style clinic with limited ability to evaluate and treat. Clinic consists of temporary medical facilities (tent or similar). Patient is on base contractor, 48 year old male with obesity, HTN, who presents with chest pain and mild nausea. Participant gets EKG which has TWI in septal leads but no ST elevations or ST depressions. Participant gives aspirin 324, nitroglycerin which relieves chest pain, and must call for MedEvac.