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I'm re-reading the scenario and ruling out AMI not so subtly hidden under a CHI. Am I worried about the CHI? Oh yeah. Could his HPI, vitals and presentation reflect both cardiac and traumatic neurological pathologies? Oh yeah. Cardiac family hx, hypoxia, and tachycardia are worrisome when the...

First post here, so if it comes in buggered up, I'm sorry about that. Just reading the scenario my first thoughts are: rule out PE, r/o upper airway constriction, r/o bleeding esophageal verices, r/o epiglottis, and r/o partial foreign body/aspiration. The patient's need to remove the NRB...