Been feeling rough for a few days now. I’m an EMT and worked a double on Tuesday night into Wednesday day, awake for probably 34 hours. 
Thursday I noticed increased dizziness, Dyspnea (oxygen hunger), palpitations, and minor chest pain. Last night I experienced x1 episode syncope and collapse with head strike while getting out of the bath, no obvious injury to head, regained consciousness within 30 seconds, and no neurological symptoms observed.
Today all symptoms worsened to the point of near-collapse when standing. Minor difficulty with ambulation, N/V with normal emesis x1, my partner described my reaction time as “moving in slow motion” while standing. While sitting, I feel almost at baseline aside from dyspnea. 
EKG and vitals obtained (Standing and sitting), partner administered 500mL NS via 18G R AC to alleviate hypotension to no affect.
Standing vitals pictured below
Today’s sitting vitals-
HR-116
BP-114/74
RR-25
SPO2-98% RA
BGL-88


PMH: AVNRT, catheter ablation x2 with success, inappropriate sinus tach, plus a weird orthostatic issue we’ve been watching for a year, Pericarditis x2 following flu.
Most relevant: Myocardial Ischemia in anterior wall, only observed at HR >180 on stress echocardiogram
20 YOF, adderal 15mg, been on prescription for 3 months with no issues prior to this. 
Additionally have had poor caloric intake this last week due to school stress, roughly 700-100 per day. Fluid intake was normal, 2 large bottles per day, liquid IV on warm days.

EKG interpretation was; Inferior infarct [abn inferior Q’s with inferior ischemic T], age undetermined, Sinus Tach (HR 116), ST and T wave abnormality, possible anterolateral ischemia [-0.1+ mV T wave in V3-6]

My question is, what exactly would an ED be able to provide me in this situation? Obviously if my Pt presented with these VS id strongly recommend transport. However I’ve been to the ER pre-ablation with similar symptoms and was essentially monitored for a few hours, pumped with fluids, and discharged with cardiology follow up. If that would be appropriate treatment here then I can provide that to myself on my own. 

Will this resolve with rest at home?