Date Published

May 19, 2023

Updated For

ALS PCS Version ALS PCS Version 5.2


In regards to the cardiac ischemia medical directive, the latest indication is now suspected cardiac ischemia. If you have a pt presenting with all signs and symptoms of cardiac ischemia, have given ASA, established an IV, and have given NTG. If the pt's symptoms improve after administration of NTG should you continue with the directive to the full amount of doses provided the pt still meets the conditions?


If after less than the maximum number of doses of nitroglycerine, the patient is pain free, further doses can be withheld.



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