Read the scenario and ask yourself, What would I do?
You are dispatched to a private residence for a "man with chest pain." The patient's wife meets you at the door. As she leads you to the bedroom where her husband is lying in bed, she tells you that he has had indigestion for the last hour but about 15 minutes ago he started complaining of chest pain; that's when she called EMS.
As the wife begins introducing her husband, you note that he is very pale, his lips are gray, and sweat is beading up on his forehead. He is clutching his chest and looks at you with frightened eyes. His vital signs include a pulse of 110 beats/min and regular, shallow respirations of 20 breaths/min, and a blood pressure of 98/56 mm Hg. His skin is cold and clammy. He is alert and oriented with a history of gastric reflux disease, hypertension, and angina. He is on nitroglycerin for angina pectoris, Tinormen for hypertension, and Prilosec for gastric reflux. He has no allergies.