Every day, pre-hospital providers respond to a variety of conditions. Most of these patients present symptoms that may be cardiac related. This segment reviews the signs and symptoms of acute coronary syndrome and the treatments that may be necessary to successfully treat this condition.

After completing this activity, the participant should be able to:

• describe the pathophysiology of acute coronary syndrome (ACS).
• list the indications for transcutaneous pacing (TCP) in the ACS patient.
• discuss the latest research information about the ACLS medication amiodarone.
• discuss the latest research information about the ACLS medication vasopressin.
• describe the management of an acute CHF patient with continuous positive airway pressure (CPAP).
• describe the management of an acute CHF patient with nitroglycerin.