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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

4. 5. 6.

May not be cardiac in origin Must be diagnosed by a physician Related terminology

a.

b.

Defined as a brief discomfort, has predictable characteristics and is relieved promptly - no change in this pattern Stable

    • (1)

      Occurs at a relative fixed frequency

    • (2)

      Usually relieved by rest and/ or medication

  • c.

    Unstable

7.

    • (1)

      Occurs without fixed frequency

    • (2)

      May or may not be relieved by rest and/ or medication

  • d.

    Initial - first episode

  • e.

    Progressive - accelerating in frequency and duration

  • f.

    Preinfarction angina

    • (1)

      Pain at rest

    • (2)

      Sitting or lying down

Differential diagnoses

. a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. q. r. s. t

Cholecystitis Acute viral pericarditis or any other inflammatory cardiac disease Aneurysm Hiatal hernia Esophageal disease Gastric reflux Pulmonary embolism Peptic ulcer disease Pancreatitis Chest wall syndrome Costochondritis Acromioclavicular disease Pleural irritation Respiratory infections Aortic dissection Pneumothorax Dyspepsia Herpes zoster Chest wall tumors Chest wall trauma

C.

Initial assessment findings

  • 1.

    Airway/ breathing

    • a.

      Labored breathing may or may not be present

  • 2.

    Circulation

  • a.

    Peripheral pulses

    • (1)

      Quality

    • (2)

      Rhythm

  • b.

    Changes in skin

    • (1)

      Color

    • (2)

      Temperature

    • (3)

      Moisture

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

21

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