If the caller describes heart attack–like symptoms, which protocol should be initiated?

• A. 10 chest pain/ chest discomfort
• B. 5 allergic reaction
• C. 30 unconscious patient
• D. 18 stroke

Answer: (A)

When someone describes heart attack–like symptoms, you activate the chest pain/chest discomfort protocol. This protocol is designed specifically for suspected cardiac events, so it guides you to quickly gather the most relevant information (onset, location, quality, radiation, intensity, and accompanying symptoms like shortness of breath, sweating, or nausea), assess risk factors and medications, and get EMS on the way without delay. It also directs life-saving actions such as monitoring the patient and, if allowed by policy, administering aspirin while awaiting transport.

The other protocols are tailored to different emergencies: the allergic reaction protocol handles signs like trouble breathing, hives, or swelling; the unconscious patient protocol handles unresponsive individuals; and the stroke protocol focuses on sudden neurological deficits. While overlaps can occur, the chest pain protocol is the best fit for heart attack–like symptoms because it targets rapid cardiac assessment and response.