Static Cardiology (Chest pain (Acute Coronary Syndromes)

Question 1

Static Cardiology (Chest pain (Acute Coronary Syndromes)

Answer 1

• Scene safe/BSI
• Quickly assess to determine likelihood of cardiac chest pain
• Call for paramedic intercept
• Administer O2 to keep SPO2 above 94%
• Treat for shock if signs and symptoms exist
• Initiate cardiac monitoring
• Obtain baseline vital signs
• Perform 12-lead and transmit if possible
• Administer 324mg of Aspirin (ASA) chewable tablets
• Establish peripheral IV access with IV fluids hanging (PREFERABLY WARM)
• Administer 0.4mg sublingual nitro while symptoms persist with systolic BP above 100mmHg
• Check BGL
• Transport to closest appropriate facility, apply pads early “just in case”
• Obtain a SAMPLE history when possible