EMR - Cardiovascular

Cardiac Chest Pain Protocol

• Complete Primary survey (consider target SpO2 of 95%. Get partner to get a baseline set of vitals) → ASA → Complete Critical Hx (pain assessment) → Nitro → Transport → continue PAM → Nitro q3 → Consider Entonox

• 0 - BP, HR, Resps, SpO2, Skin, Pain, GCS → Nitro

• 3 - BP, HR, Pain → Nitro

• 5 - Resps, GCS, SpO2, Skin

• 6 - BP (palp), HR, Pain → Nitro

• Notification, consider calling EPOS if pain not resolved

• 10 - Resps, GCS, Spo2, Skin

Cardiovascular Disease

• Coronary Artery Disease (CAD)

• Peripheral Artery disease

• Hypertension

• Arteriosclerosis (hardening)

• Atherosclerosis (narrowing)

• Cerebrovascular disease

• congenital heart disease (CHD)

• Deep vein thrombosis (DVT) - clot

• Pulmonary embolism (PE) - lung clot

Anatomy review

Angina (angina pectoris) and Myocardial Infarction (MI)

• Angina

  • Chest pain as a result of reduced blood flow to muscles of heart (partial blockage). May be recurring and is common.

• MI

  • heart attach. blockage of blood flow to heart muscles

Abdominal Aortic Aneurysm (AAA))

AAA

• Blockage in dorsal aorta

• pulsating mass in abd resulting in potential tearing of abd

• check and compare BP left vs right. 30 point difference

• Treat the same as other cardiac issues

Congestive heart failure (CHF)