What are the AHA guidelines for prehospital care of acute coronary syndromes (ACS)?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Specific prehospital care is as follows:

  • Monitor ABCs; be prepared to provide CPR and defibrillation

  • 12-Lead ECG

  • Supplemental oxygen

  • Immediate administration of aspirin (160-325 mg) en route

  • Nitroglycerin for active chest pain (avoid in hypotensive patients) and morphine, if needed

  • Establish IV access

  • If fibrinolysis is considered, complete fibrinolytic checklist

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