Myocardial Infarction – Treatment Copy

If the persons signs and symptoms indicate a possible myocardial infarction, do the following:

  • Call 999
  • Ask if the person takes any medication for their condition, allow them to take it
  • 300mg of Aspirin in dispersible tablet form can be chewed
  • Ensure they are sat in a comfortable position. Sitting on the floor, leaning against a wall, sofa or person, with legs bent at the knee. This position is often referred to as the “W Position”.
  • Loosen any tight clothing
  • Keep the person calm

If you have not already done so the call handler will tell you to offer an Aspirin which has an anti-platetlet action and therefore can help reduce clot formation. Contraindications for Aspirin are:

  • A known aspirin allergy or sensitivity
  • They are a child under 16 years old
  • They have active gastrointestinal bleeding
  • Haemophilia or other known clotting disorders
  • Severe hepatic disease

There are cautions for taking Aspirin but as the benefits of taking 300mg of Aspirin outweigh the risks, it may be given to people with:

  • Asthma
  • Pregnancy
  • Kidney or liver failure
  • Gastric or duodenal ulcer
  • Current treatment with anticoagulants

If in doubt the call handler will advise.

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