CHEST PAIN ALGO

Question 0

EMS assessment and care

Answer 0

Be prepared to provide CPR/ defibrillation
Perform brief history and physical
Administer O2 4L/min (if SPO2 sats <94%)
Vital Signs, IV access, 12Lead EKG
If ST elevation: Notify cath lab hospital of STEMI, note time of onset of symptoms

Question 1

BSI, Scene Safe, C Spine, LOC (AVPU)
CAB (support if needed)
the next box is

Answer 1

Symptoms suggestive of ischemia or infarction

Question 2

Give:

Answer 2

ASA 325mg
Nitroglycerin 0.4mg sublingual/spray x3 doses
Morphine 2-8mg IV if no relief from Nitro and BPS>90

Question 3

EKG Interpretation 
#1

Answer 3

ST elevation or new LBBB
Strongly suspicious for injury
ST elevation MI (STEMI)

Question 4

EKG Interpretation
#2

Answer 4

ST depression or T wave inversion
strongly suspicious for ischemia
Unstable angina/non STEMI

Question 5

EKG Interpretation
#3

Answer 5

Normal or non diagnostic
changes in ST segment or T wave
Low/intermittent ACS