CC: SOB
HPI: 80 yo male with sudden onset SOB during walk. Pt recalls feeling sick and then experienced syncopal eposide. Pt denies CP. Denies recent illness.
EXAM: Pale, anxious, diaphoretic. VS: BP: 107/70, P: 107, R: 20. Sp02: 89%. Pt retracting; clear lung sounds.
ASESS: Severe respiratory distress
PLAN: Vitals, 12 lead, high flow oxygen, fluid bolus, 324 mg ASA
12 LEAD ECG
12 LEAD ECG RHYTHM STRIP
EMS and ED COURSE
The providers package the patient for transport. The patient becomes progressively more short of breath. Truncal cyanosis appears and is refractory to high flow oxygen. The patient has seizure-like activity upon arrival to the ED. Compressions are started and the patient expires following thirty minutes of failed reususcitation.
What clues are provided by the patient's history or 12 lead ECG?
