Cardiology>>>>>Ischaemic heart disease
Question 3#

What should you do next?

A) Administer oxygen
B) Administer analgesia
C) Give aspirin 300 mg
D) Perform a 12-lead ECG
E) Gain IV access

Correct Answer is D


An ECG should be performed as soon as possible as prompt diagnosis of ST elevation MI is essential. Nevertheless, the majority of patients presenting with chest pain are of non-ischaemic origin and so the other treatments may not be necessary. If ACS is suspected, aspirin should be given first. Oxygen is not recommended in the chest pain algorithm unless saturations are <94% (aim 94–98% or 88–92% if COPD).