a 48yo with a panic attack. No history, no specific complaints besides the classic hyperventilation symptoms and sats of 100%. However the EKG reveals a large STEMI (inferior, posterior, anterior and lateral) with hypotension. We stabilized him with fluids and loaded him with all the pre-PCI meds and called in the FD to assist with evacuation. So far we have a laughing and joking chap with no chest pain, no nausea, good skin condition. Just a bit out of breath. A few minutes later he goes into Vfib. and stays there for a good ten minutes before returning to life.
A "chest pain" call that turned out to be 10 mins of ear pain prior to calling 911. After reading WebMD the pt then had ear pain that radiated to her chest. A whole lot different then chest pain that radiates to the jaw/ear