26th July 2024

A 45-year-old man has presented to the emergency department with severe chest pain and shortness of breath

A 45-year-old man has presented to the emergency department with severe chest pain and shortness of breath.

His observations are: HR 120 bpm, BP 78/43 mmHg, saturations 84% on room air, RR 32 and temperature 37.0 degrees Celsius.

He is otherwise well with no medical problems and does not take any regular medications.

Imaging is performed:

James Heilman, MD, CC BY-SA 4.0

What is the most appropriate treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.