Hello, I have a question regarding Nitroglycerin. Assuming they meet all indications, conditions and have no contraindications, Say I give Nitro to a Patient and there originally BP was 120/80, and I go to give a second dose, and the BP is 101/60. S…

Under the Cardiac Ischemia MD, is there ever a case in which it is acceptable to give ASA but not NTG (assuming conditions/contraindications are met for both)? We often see otherwise healthy patients who describe a mild to moderate, non-reproducibl…

The new MPDS dispatch system is advising patients to take their own ASA at a dosage of 320mg when they call for chest pain prior to paramedics arriving. Should we continue to give our own ASA if this is the case and we suspect ischemia?

Route of admin for Morphine in ACS only includes IV in the PCS. If IV access is unobtainable and nitroglycerin is contraindicated due to no history, I think it is reasonable to give morphine IM / SC for severe pain. From a risk/benefit point of vi…

Can you please define the contraindication for cardiac ischemia medical directive, of allergy or sensitivity to NSAIDs for ASA administration. I recently came across a patient with allergies to ibuprofen and ketorolac however is prescribed low dose…

Considering the Cardiac Ischemia MD - Our indications are "Suspected Cardiac Ischemia" which encompasses various signs and symptoms but it does not denote a time frame. We recently had a call where the patient was complaining of approx 10s episode…

The recent direction from base hospital was to administer ASA regardless of the reason behind cardiac ischemia. Example: rate related pain associated with a tachydysrhythmia. Supposing you arrive to a patient who recently experienced uncontrolled a…