What are the AHA guidelines for emergency department (ED) assessment and immediate treatment 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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ED assessment and immediate treatment is as follows:

  • Vital signs and pulse oximetry; if oxygen saturation is less than 90%, start oxygen at 4 L/min, titrate

  • Intravenous access and aspirin, if not administered by EMS

  • Nitroglycerin given sublingually or by spray; IV morphine if needed

  • Brief, targeted history and physical examination

  • Review/complete fibrinolytic checklist

  • Obtain cardiac marker, electrolyte, and coagulation studies

  • Portable chest radiograph in less than 30 minutes

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