EKG demonstrates ST segment elevations throughout the anterior precordial leads: What is your next move?

55 y/o female, history of diabetes, found down and with altered mental status by family. Glucose "to high to be measured" per EMS. Temp 98.0 HR 88 BP 80/50 RR 28 sating 95% room air. Physical exam notable for female that responds minimally to painful stimuli. Rest of exam essentially unremarkable.

EKG (click to enlarge):


What is your next move?



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