Can anyone believe this shit?!

[Sam McGee]

34. I'm and Advanced Life Support EMT . . .

. . . and this is some bad shit.

So -- I'm dispatched at 2:00 AM for 72 year old male with severe crushing chest pain, shortness of breath. I get on the scene and find:
-- BP 210/110
-- Pulse 98 and thready
-- Respiration 20 and shallow
-- PulseOx 90%
-- Diaphoretic
-- Onset was 20 minutes ago -- he has 90 minutes from onset to balloon and I'm already 30 minutes into that

I run a 12-lead ECG and find confirmed STEMI with ST segments severely elevated and extended in four contiguous leads with PVCs in three leads.

I start an IV, put him on 6 L O2 via NC, and give him four 81mg aspirin followed five minutes later by the first of three nitro tabs.

I'm calling for a helicopter because I'm in a rural area with only a small general hospital -- medevac helicopter is $40,000. Medevac ETA is 20 minutes -- add that to the 30 plus 5 minutes to load and another 5 to transfer and another 20 back to the level one cardiac center, that's 30+20+5+5+20=80 minutes and he has only 90 until heart muscle damage sets in.

And some limp-wristed pencil-pushing insurance company clerk is going to second guess me??

The really is some bad shit.