You have been dispatched to the scene of a patient who is ha…

You have been dispatched to the scene of a patient who is having a “possible heart attack”.  Upon arrival, you find a patient who exhibits an altered mental status, drooling, slurred speech with incoherent words and a positive facial droop.  Vitals are BP in the right arm is 170/70 and in the left arm is 146/76, HR is 50; RR is 14, regular and blood glucose is 50 g/dl.  His past medical history includes AMI, diabetes.  From the following, select the most appropriate treatment.

A 43 y/o male calls for an ambulance due to “crushing chest…

A 43 y/o male calls for an ambulance due to “crushing chest pain” that radiates down his left arm.  The patient’s skin is cool, pale and moist.  BP is 80/50, HR is 42, RR is 26 with clear and equal lung sounds.  The patient has no prior medical history and does not take any medications. The ECG shows a narrow complex second-degree Type I AV block with 10 non-perfusing unifocal PVC’s/minute.  The patient is slow to answer your questions.  Based upon this presentation, you suspect the patient to be suffering from which of the following?