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The Water Cooler
General Discussion
Heart Attack! -- What do you do?
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<blockquote data-quote="Norman" data-source="post: 2060468" data-attributes="member: 4232"><p>Pretty true all around. I would be less concerned with the IV than the 12 lead, but even the 12 lead isn't completely necessary. Possibly fatal effect on the preload can be avoided with common sense use of the NTG. If the systolic BP is iffy, withold the treatment. Same for tachycardia/bradycardia. The good thing about RVI's is the few that I've seen contraindicated NTG by one of the above. </p><p></p><p>With that said, I'm no MD/DO. Nor a paramedic. Overall I'm pretty low on the totem poll.</p><p></p><p>The best treatment for the laymen would probably be a proper dose of ASA, then CPR if its a full arrest.</p></blockquote><p></p>
[QUOTE="Norman, post: 2060468, member: 4232"] Pretty true all around. I would be less concerned with the IV than the 12 lead, but even the 12 lead isn't completely necessary. Possibly fatal effect on the preload can be avoided with common sense use of the NTG. If the systolic BP is iffy, withold the treatment. Same for tachycardia/bradycardia. The good thing about RVI's is the few that I've seen contraindicated NTG by one of the above. With that said, I'm no MD/DO. Nor a paramedic. Overall I'm pretty low on the totem poll. The best treatment for the laymen would probably be a proper dose of ASA, then CPR if its a full arrest. [/QUOTE]
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