EMS Chest Pain / ACS Guidelines - American Heart …

EMS Chest Pain / ACS Guidelines ACS Signs & Symptoms STEMI Criteria 12 Lead EMS ECG Criteria Chest pain- any non-traumatic pain Patients > 20 years old experiencing any between the jaw & umbilicus ST segment ACS signs & symptoms Chest pressure, discomfort or tightness elevation of 1 mm OR. Complaints of Heart racing or in 2 contiguous leads Any age patient with ACS signs &. palpitations symptoms AND a history of: Bradycardia with or without signs HTN Cardiac disease Syncope & symptoms of ACS Smoking Diabetes mellitus Weakness in patients > 45 years old Severe Obesity High Cholesterol New onset stroke symptoms Recent recreational drug use Difficulty breathing (without obvious cause asthma or CHF) When in Doubt, Obtain an ECG. Minimize patient exertion Legend F F. F First Responder F. Apply Oxygen to maintain SPO2. F F B EMT-Basic B. > 94%. 324 mg Aspirin PO EMT- B B I I. Chewed, not swallowed Intermediate Obtain 12 Lead ECG within 10 P Paramedic P.

Complaints of “heart racing” or palpitations . Bradycardia . Syncope . Weakness in patients > 45 years old . New onset stroke symptoms . Difficulty breathing (without ob vious cause i.e. asthma or CHF) 12 Lead EMS ECG Criteria Patients > 20 years old experiencing any ACS signs & symptoms . OR . Any age patient with ACS signs & symptoms AND ...

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