Case Study: A 56-year-old Australian indigenous male has called an ambulance for localised left bicep pain that started two days ago. You have difficulty in gaining further history due to language barrier, but you gather from a bystander that the pain is worse when he moves his arm. The patient declines all further assessments with the ambulance crew, and just wants to go to hospital, so you take him.
From a basic visual assessment, the patient does not look unwell, and it is only a slightly elevated respiratory rate of 22/min that is outside normal limits.
At the emergency department they confirm the patient is suffering an acute myocardial infarction (STEMI).
From the above Case Study present your essay to include discussions on:
1. Consider at least FIVE social determinates of health-factors for this patient, describe the clinical course of such patients’ developing ACS at an earlier age and subsequently lead to potential cardiac failure
2. Outline the clinical assessments that you would perform on this patient, if he did consent, and argue your rationale given that all this patient is complaining of was a sore bicep on movement
3. How would your management of this patient differ if he was located in Port Pirie rather than Port Adelaide, if in fact he was suffering an acute myocardial infarction (STEMI). Include both prehospital and in-hospital treatments available for this patient.
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