ALS, Please?
Messy home, fast food, smoker, multiple meds on table; 62y/o male is complaining of left-sided intermittent chest pressure, SOB, pale/diaphoretic, and BP is 76/dirt.
ALS STAT.
Arteries carry...?
Oxygenated blood back to the myocardium
You arrive to a chest pain patient who hasn’t taken anything yet. What’s your first medication priority (per most BLS protocols)?
What is Aspirin
Patient has chest pressure that feels like "an elephant is sitting on their chest" and your paramedic bestie's eyes become the size of saucers when they see the "tombstones" on the patient's EKG.
STEMI
Obviously
That's why this one is only 100 points.
26y/o female, right-sided chest pain, SOB, tingling in fingertips
Coach breathing, see if symptoms improve. If not, ALS eval and transport decision.
Atherosclerosis is defined as?
Plaque buildup
Dose of Aspirin
What is 81mg-324mg
The patient was out mowing the lawn when he started to feel an ache in his chest that continued to increase as he worked. He decided to go inside for some lemonade and Judge Judy, and as he rested the ache subsided.
Stable Angina
52 y/o male is complaining of epigastric chest pain described as “burning” after eating; stable vitals and presentation.
What is the "pacemaker" of the heart?
The SA node
The patient has their own nitro and wants to take it. What are the contraindications?
SBP > 100; ED medications taken within the last 24 hours
The patient is fatigued and appears pale and diaphoretic. Your paramedic bestie does an EKG which shows the pt slightly tachy but with no ST elevation or depression. Hospital outcome report shows high troponin levels, UH OH.
NSTEMI
58 y/o female complaining of restlessness and anxiety; history of diabetes and HTN; no other complaints. BP 198/106; the patient took her BP meds that morning.
ALS, if for any reason--at least that for that uncontrolled HTN.
Arteriosclerosis is defined as?
Hardening of the arteries, making them thicker and less flexible.
You should assist aspirin unless this is present
What is allergy or active bleeding?
Patient describes sudden onset sharp, tearing sensation to his flank and back. Pale, diaphoretic, no chest pain.
AAA
***Is this technically ACS? No, but bad arteries from weakened vessels from ACS can lead to this as well.
60-year-old patient with mild chest discomfort, normal vitals, slightly anxious, says “this just feels wrong.” Recent hip surgery
BLS providers sweat as they request ALS over the radio.
What is a STEMI defined as?
Full occlusion of a blood vessel, causing infarction/death of the surrounding heart muscle
Patient becomes pale, dizzy, and hypotensive after you assist them with their nitro. What do you do next?
Lay the patient supine, reassess, look out the window nervously to see if ALS has pulled up yet?
46 y/o male presents with sudden onset chest pain while at rest, radiates to their left arm and jaw; is pale/diaphoretic and has vomited once; no prior hx of CAD but has hx of A-fib and recently lost his insurance and has been out of his beta-blocker medication for over a month.
VS: HR is rapid and irregular, BP normotensive, rapid RR, SPo2 normal.
Coronary Artery Emoblism