Shock

     
   

 

     
      Clinical Scenario 4

A 56 year old male presents to ER. He is cold, clammy, dysphoric and complaining of central chest pain. His pulse is 130, blood pressure is 84/50, lung fields: bilateral crackles, a third heart sound is audible. ECG reveals ST segment elevation leads V2 to V4

 

       
   

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