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Which of these would you treat first? C is the priority because the symptoms suggest acute coronary syndrome (ACS)…potentially an active myocardial infarction. Chest pressure accompanied by diaphoresis and nausea is concerning for myocardial ischemia and represents an immediate threat to life. This patient needs rapid assessment, ECG, aspirin when appropriate, and EMS/ED transfer rather than routine urgent-care management. The other choices are alarming as well, but aren’t necessarily immediatel
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