43year male who is complaining of severe chest discomfort, Shortness of breath, palpitations, feeling too hot and anxiety

Case You are tasked to a 43year male who is complaining of severe chest discomfort, Shortness of breath, palpitations, feeling too hot and anxiety Assessment Alert middle aged man in mild respiratory distress, appears warm & sweaty with hand tremors, alert and oriented to person, time and place RR 22, SpO2 94%, HR 145, BP 170/80, cap refill <2, T 38.8C, Pupils EARRL Size 4 anicteric ECG - Atrial fibrillation Heart - no murmurs, Lungs - bibasilar rales Abdo - soft non-tender PMHx Nil known allergies Depression, HT, Paroxysmal Atrial tachycardia Medications - paroxetine, hydrochlorothiazide, amiodarone Nil significant family history Smokes, occasional EToH, denies recreational drug use What do you know about the patient? What is the key information? What do you still need to find out? ________________________________________ Outline 3 provisional diagnoses. ________________________________________ Discuss your final diagnosis and the pathophysiology behind the diagnosis. ________________________________________ Discuss the implications for paramedic practice. ________________________________________ Reference List