You are by the side of a patient who complains of severe chest pain that radiates into his right arm and neck. He is alert and oriented, with an open airway and adequate breathing. His radial pulse is strong, and his skin is cool and diaphoretic. Your partner reports his pulse rate is 84, respirations are 18 breaths/min, blood pressure is 86/62 mmHg, and SpO2 is 98% on room air. You have obtained a medical history and performed the secondary assessment. The patient states that he has had two heart attacks in the past and is allergic to aspirin and sulfa medications. What should you do next?

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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