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Aug 23, 2013 · ABCs/ACLS, O2 ASA + nitro + morphine + telemetry (nitro 0.5mg SL up to 3 doses 5m apart or 1inch topical paste) (morphine: low dose, can repeat if awake and SBP>90) If ACS: call cardiology fellow to discuss heparin + plavix, consider CCU If concerned for aortic dissection: Check BP on both arms, review mediastinum on CXR, consider CT Angio

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