Chapter 7 · First Aid
Heart attack
Signs: pain, pressure, tightness, or burning in the chest that lasts more than a few minutes or comes and goes; pain spreading to the arm(s), back, neck, jaw, or stomach; shortness of breath; cold sweat; nausea; dizziness. In women, older adults, and people with diabetes, chest pain is often mild or absent, and shortness of breath, nausea, extreme fatigue, or back or jaw pain predominate.
- Call 911 immediately. Do not drive the person yourself unless 911 tells you to or there is no other option: paramedics start treatment on the way.
- Have the person stop all activity and sit or lie down in the most comfortable position (usually half-sitting).
- Aspirin: if the person is conscious, not allergic, has no known contraindication, and the 911 dispatcher or their doctor says so, they can chew aspirin as directed.
- If they take prescribed nitroglycerin, help them take their own as their doctor directed.
- If they lose consciousness and aren't breathing normally: CPR and AED.