Indication:

Acute Coronary Syndrome (ACS) refers to any of a group of symptoms attributed to the obstruction of the coronary arteries.  Presentation may include, but not be limited to:

• Chest pain or pressure
• Radiation of chest pain to the left arm and/or left angle of the jaw
• Diaphoresis
• Dyspnea
• Nausea and/or vomiting

Precaution:

• Scene Safety
  

Procedure:

• Airway
• Breathing
• Circulation
• Oxygen – high flow
• Position of comfort
• May assist patient in taking his or her own medications if indicated
• Vascular access
• Medications
  • Aspirin   324mg (PO)
  • Nitroglycerin    0.4mg (SL) q 3-5 minutes if systolic pressure is > 90mmHg
  • Fentanyl   1-2mcg/kg IV, IN, IM, IO with a max single dose of 100mcg
    

• Treat underlying dysrhythmias accordingly
  

Special Note:

Direct to Cath Lab transport may be recommended depending on scene location and patient assessment.  Contact medical control for recommendations and orders.