Im' working at a jail and had an inmate come down with chest pain. He has mental issues but cardiac ones too. The MD on call did not answer my call, but I did take an ekg. The automatic reading states accelerated AV junctional rhythm (no atrial activity detected) and states extensive precordial ST elevation, consider acute ischemia.
Is this super serious? I know he's had a stroke several years ago. Do I need to call 911?