Patient presents to ED brought in by ambulance for chest pain. Patient presents initially normotensive and normocardic. If learner does not recognize inferior STEMI (with RV infarct here) and gives NTG or does not sufficiently fluid resuscitate, patient deteriorates into cardiac arrest.
1. Recognize inferior STEMI by history, exam, and EKG
2. Activate cath lab
3. Start fluids, heparin, and pressors, if needed