Supplemental oxygen is recommended, and aspirin may be given as usual. Beta-blockers and ACE inhibitors should be given with caution and only in accordance with local protocol in the setting of RVI.
EMS providers play a special role in early diagnosis and proper treatment of any patient who is having a heart attack. By doing the right things, they can give the RVI patient a better chance for recovery.
Special thanks to Charles Krin, DO, for his advice and help in reviewing this article.
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William E. “Gene” Gandy, JD, LP, has been a paramedic and EMS educator for over 30 years. He has implemented a two-year associate’s degree paramedic program for a community college, served as both a volunteer and paid paramedic, and practiced in both rural and urban settings and in the offshore oil industry. He has testified in court as an expert witness in a number of cases involving EMS providers and lectures on medical/legal aspects of EMS. He lives in Tucson, AZ.