06 Chest Pain

STANDARD OPERATING GUIDELINES

#6   CHEST PAIN

1.                  Secure and maintain airway.  Consider C-spine precautions.

2.                  Administer O2 to maintain SaO2 >95% (90% if history of COPD)

3.                  Talk to patient and reassure to decrease anxiety.

4.                  Complete Primary Survey.  Initiate BCLS as needed.

5.                  CALL FOR INTERCEPT FOR CONTINUED CHEST PAIN.

6.                  Be ready to attach defibrillator if patient’s condition deteriorates.

7.                  Obtain Secondary Survey, History, Vital Signs.

8.                  Place patient in position of comfort.

9.                  Contact Medical Control

10.              Monitor Vital Signs and condition enroute.

Aspirin Guidelines

1.                  If no contraindications, administer Aspirin 325 mg by mouth.

(1 adult tablet or 4 chewable baby Aspirin 81 mg each)

2.                  Document specifics of administration or non-administration.

Aspirin Indications                                                      Aspirin Contraindications

  Chest pain thought to be cardiac                                 Allergy to Aspirin

  Age over 30 years                                                        Asthma provoked by Aspirin

  Absence of chest trauma                                            Active bleeding ulcer

                                                                                       Decreased gag reflex

                                                                                       Glasgow Coma Score <9

                                                                                       Recent influenza (<7 days)