Crushing central chest pain.

ALS MCQ - Crushing central chest pain
Crushing central chest pain

A 55 year – old man presents with 1 hour history of crushing central chest pain, nausea and sweating.  Pulse rate is 38 bpm, BP 75/45 mmHg.  You observe sinus bradycardia in ECG monitor.  You recommend:

a) Atropine 500 mcg iv should be administered.
b) Adrenaline infusion 20 – 100 mcg min is an option.
c) Analgesia with opiates is contraindicated.
d) Oxygenation 24% should be maintained until ABG results arrive.

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