Management of ACS for the ALS Provider

These patients can be the “oops” calls of EMS.  Patients experiencing anginal equivalent symptoms may be overlooked and under-treated.  Atypical chest pain and anginal equivalent symptoms are often found in women, the elderly and the diabetic patients. 

• Additional Signs and Symptoms
• Diaphoresis
  • Cool, clammy, wet skin
• Anxiety
• Restlessness
• Abnormal vital signs
  • Irregular pulse rate
• Nausea / vomiting
• Sense of impending doom