Mr Angermeier

You are a junior doctor (FY1) on call, in Accident and Emergency, in a district general hospital.

Mr. Angermeier, a 48 year-old man, has been brought in by ambulance. He has had chest pain for the past 8 hours. The pain has gradually got worse, particularly within the last hour.

Mr. Angermeier looks unwell and appears pale and clammy.

How would you manage Mr. Angermeier?