Acute Coronary Syndrome

M400

• 12 lead ECG ASAP (<10 min) and transmit or relay findings
• 324 mg baby aspirin (chewable) if not contraindicated
• Determine erectile dysfunction or pulmonary hypertension drug use
• Nitroglycerin 0.4 mg SL q 5 min X 3 or 1″ topical Nitroglycerin
• Morphine Sulfate 1-5 mg (10 mg total) or Fentanyl 25-50 mcg IV/IO (200 mcg total) if BP>100mm Hg and pain persists
• If medic interprets rhythm as STEMI, minimize on-scene time to <15 min, treat during transport, and request cath lab activation