Chest pain initial management

Initial management:

MOVE

  • Monitor – blood pressure, urine output, oxygen saturation etc
  • Oxygen – controversial
  • Venous access – for blood sample and drug administration
  • ECG – 12-lead

Secondary management:

MONA

  • Morphine + anti-emetic
  • Oxygen
  • Nitrates e.g. GTN or nitrate infusion
  • Antiplatelet e.g. aspirin
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