MI (s)

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I was at my part time gig where we hang out in triage and help out in the ER (crazy, I know!). But sometimes we get to play, bandaging and starting IVs and stuff before they get to the department. The other day, a guy came in, said he had a little chest pain and thought he should be checked out. It was kind of busy so one of my colleagues took him to a spare area next to triage and hooked him up to the three lead. There it was, ST elevation in II, III and aVF. So we got him straight back, did a 12 lead, talked to the doc, sunk some IVs and he was flown to an interventional cath lab within 20 minutes. I must say, it was kind of awesome.
We got settled back in after that and about 10 minutes later another guy came in saying he just didn't feel right and thought he should be checked. The triage nurse and I put him in the monitor and low and behold: a STEMI! II, III and aVF again. It was deja-vu as I wheeled him back, we did a 12 lead, talked to the doc, sunk some IVs and he was on his way to an interventional cath lab within 30 minutes.
It was indeed strange, and though I kept trying to envoke the rule of '3's', a third MI didn't walk in.

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