A 67-year-old male patient with a history of coronary artery disease and COPD called 911 for chest discomfort and mild dyspnea. When you are at the patient's side, he states that the pain started when he was cleaning out his garage, but after a period of rest, the pain has resolved. His airway is patent, breathing adequate, radial pulse irregular, and skin warm and dry. He has a past medical history of atrial fibrillation (irregular heartbeat), coronary artery disease, and diabetes, for which he takes insulin. Vital signs are pulse, 68; respirations, 16 breaths/min; blood pressure, 148/88 mmHg; and SpO2, 97% on room air. The patient took 81 mg of aspirin as prescribed this morning on awakening. What should you do first?

Here are some cardiovascular emergencies that EMTs may encounter: Cardiac arrest: When the heart stops pumping blood, leading to loss of consciousness and normal breathing. This can be marked by sudden collapse, absence of pulse, and cessation of breathing. Defibrillation: An electrical shock that restores a normal heart rhythm in someone experiencing cardiac arrest. Bradycardia: A heart rate below 60 beats per minute. Symptomatic bradycardia can include dizziness, feeling faint upon standing, shortness of breath, and a low heart rate. Tachycardia: A heart rate above 100 beats per... Show more

Here are some cardiovascular emergencies that EMTs may encounter:
Cardiac arrest: When the heart stops pumping blood, leading to loss of consciousness and normal breathing. This can be marked by sudden collapse, absence of pulse, and cessation of breathing.
Defibrillation: An electrical shock that restores a normal heart rhythm in someone experiencing cardiac arrest.
Bradycardia: A heart rate below 60 beats per minute. Symptomatic bradycardia can include dizziness, feeling faint upon standing, shortness of breath, and a low heart rate.
Tachycardia: A heart rate above 100 beats per minute.
Chest pain: A symptom that can be an indicator of many underlying problems, whether mild or sharp, or simply an aching discomfort.
Dyspnea: Shortness of breath. It can be the primary manifestation of cardiovascular, respiratory, metabolic, neuromuscular disorders or obesity.
Hypertensive emergencies: An acute, severe elevation in blood pressure accompanied by end-organ compromise.

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