CHEST PAIN SUGGESTIVE OF AN ACUTE MYOCARDIAL INFARCTION

< 10 MINUTES

Immediate Assessment

• Obtain Vital Signs with Continuous Readout
• Obtain Standard 12-Lead Electrocardiogram with Continuous Readout
• Check Breathing (oxygen saturation)
• Obtain I.V. Access
• Brief, Targeted History
• Obtain Blood for Cardiac Serum Markers, Electrolyte and Coagulation Studies

Immediate General Treatment

• Oxygen at 4/Liters minute
• Aspirin 160-325 milligrams
• Nitroglycerin either sub-lingual or spray
• Morphine for Pain if not Relieved by Nitroglycerine

Transport to Hospital Emergency Facility