Date Published

February 11, 2020

Updated For

ALS PCS Version ALS PCS 5.2


Case: A 68 year old male is complaining of ischemic-type chest discomfort. During your assessment, he states that the 911 operator told him to chew some of his Aspirin, which he says he did. Assuming he meets the indications and has no contraindications, do you administer more ASA?Answer: ASA is a safe medication with a wide therapeutic index (the effective dose without side effects can be from 80 1500 mg). The additional dose provided by paramedics will not exceed the therapeutic dose while ensuring the correct administration of correct dose of the medication. Therefore, apply the cardiac ischemia medical directive as if no care had been rendered prior to your arrival.


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