Chest Pain

Question 1

Criteria

Answer 1

No traumatic Chest Pain over 45yrs or High Risk Pt

Question 2

First Line TX

Answer 2

• O2 (NC)
• 12 lead ekg
• IV Access
• Aspirin
• Fluids if SBP <110

Question 3

Considered TX’s

Answer 3

• Nitro if over SBP >110 & IV Access in place
• Morphine (2-5mg increments q 5 min) until pain relief/20mg max/BP allows
• Fluids if SBP <110
• Zofran

Question 4

TX Timing Goals

Answer 4

• Obtain & Transmit 12 lead w/in 5 minutes
• Provide STEMI Alert w/in 10 minutes
• Time on Scene under 15 minutes

Question 5

STEMI Criteria

Answer 5

• 1mm ST elevation in 2 or more contiguous limb leads
• 2mm ST elevation
  in precordial leads (v leads)