Chest Pain
This vital assessment tool is used to monitor oxygen levels in chest pain patients.
Pulse Oximetry
This medication, given at a dose of 324 mg, is a first-line treatment for patients suspected of having acute coronary syndrome.
aspirin
This heart rate threshold is used to identify bradycardia in adult patients.
less than 60 beats per minute
This heart rate threshold generally defines narrow-complex tachycardia in adults.
greater than 150 beats per minute
This procedure should be performed universally for any patient presenting with a wide-complex tachycardia.
Universal Patient Care Protocol
This diagnostic tool must be performed and transmitted within 10 minutes of first contact in chest pain cases.
12-lead EKG
Nitroglycerin can be administered sublingually in 0.4 mg doses, but this systolic blood pressure must be maintained without an IV to administer it.
greater than 120 mmHg
This first-line medication for symptomatic bradycardia is administered in 1 mg doses every 3-5 minutes, with a maximum total dose of 3 mg.
atropine
This maneuver, commonly used to manage stable narrow-complex tachycardia, includes actions like bearing down or blowing into a syringe.
vagal maneuver
This medication, given in a dose of 150 mg mixed in 100 ml of D5W over 10 minutes, is commonly used for managing wide-complex tachycardia if the heart rate is above 130.
Amiodarone
The ACS Protocol, including Aspirin, Nitro, and Heparin, should only be used for chest pain suspected to be of this origin.
cardiac in nature
This condition, often caused by stimulant or cocaine use, requires treatment under the Toxic Ingestion/Exposure Protocol instead of using Ticagrelor or Heparin.
stimulant-induced STEMI
For patients with unstable bradycardia, who are hypotensive, transcutaneous pacing is the treatment of choice for these specific types of AV blocks.
second-degree Type II and third-degree heart blocks
This medication is the first-line treatment for regular stable SVT, administered as a 6 mg IV push followed by a 20 ml saline flush.
adenosine
This technique, used for stable wide-complex tachycardia patients, involves stimulating the vagus nerve but explicitly avoids carotid massage.
vagal maneuver
When managing chest pain due to trauma, this takes priority over medical treatment
treating the trauma
When treating a patient with suspected right-sided infarction, this additional EKG lead placement is performed but should not delay transport.
right-sided 12-lead (V4R)
In cases of bradycardia caused by beta-blocker or calcium channel blocker overdose, this protocol should be followed.
Toxic Ingestion/Exposure/Overdose protocol
Patients with this specific rhythm abnormality, such as Wolf-Parkinson-White or known atrial fibrillation, must not receive adenosine.
irregular tachycardia
For patients experiencing Torsades de Pointes, this medication is administered at a dose of 2 grams IV/IO over 20 minutes and may be repeated if necessary, up to 4 grams in one hour.
Magnesium Sulfate
This sharp, tearing pain associated with a potentially life-threatening condition is treated per the Pain Management Protocol but excludes aspirin administration
aortic dissection or aneurysm
sharp, ripping, or tearing chest or back pain
When preparing epinephrine for push-dose treatment of unstable bradycardia, the concentration is titrated to this dose, with a maximum of 50 mcg.
10 mcg/ml
For unstable narrow-complex tachycardia with SBP < 90 and symptoms like altered mental status, this electrical intervention begins at 50-100 joules.
synchronized cardioversion
If a wide-complex tachycardia patient is unstable with symptoms like SBP < 90 or altered mental status, this electrical procedure is initiated starting at 100 joules, unless Torsades is present.
synchronized cardioversion