ACS Blog

How Do You Differentiate Between Angina and ACS in Wilderness First Aid?

Question: How do I differentiate between angina and ACS in wilderness first aid? And what do I do if either of them occur?

Survival Med’s Answer: Distinguishing between Angina and Acute Coronary Syndrome (ACS) in wilderness first aid involves understanding their characteristics.

  1. Angina Overview: Angina is a symptom, not a disease, describing chest pain or discomfort due to inadequate blood and oxygen supply to the heart muscle. Two types exist:
    • Stable Angina: Predictable and triggered by exertion or stress. Typically relieved by rest or nitroglycerin. Evacuation may not be immediately necessary.
    • Unstable Angina: More severe, unpredictable, occurring at rest, and not consistently relieved by rest or medications.
  2. ACS Overview: ACS is a broader term encompassing acute heart conditions resulting from a sudden reduction in blood flow to the heart muscle. It includes unstable angina, NSTEMI, and STEMI. ACS is a medical emergency that can lead to a heart attack, also called a myocardial infarction.
  3. Evacuation Considerations:
    • Stable Angina: If the pain aligns with previous episodes and responds to nitroglycerin, evacuation may not be urgent.
    • Unstable Angina or ACS: Severe, prolonged, or new symptoms should prompt cautious evacuation, minimizing exertion.

Differentiating without medical tools is challenging, emphasizing the importance of comparing symptoms to previous episodes. If symptoms deviate significantly, erring on the side of caution and initiating evacuation is advisable.

FAK #3

Is Betadine a Good Choice for Wound Treatment?

Tourniquet Blog

What Is the Best Knot for a Tourniquet?

Epi Blog

Is It Safe to Use Someone Else’s Epi-Pen in Anaphylactic Situations?

Mary – Carnival Birth

Mary: Unexpected Carnival Delivery

Jim – Vision Loss

Jim: Worksite Eye Emergency

Assess Blog

When Should I Perform the Primary Assessment, Secondary Assessment, & Secondary Survey?

Lid Blog

What’s the Best Way to Stop Bleeding from Lid Lacerations?

EVAC blog

How Do I Determine the Urgency and Means of Evacuation for Abdominal Issues?

ryan-jump-bag

What’s in a Paramedic’s First Aid Kit?

Mike – Car Accident

Mike: Icy Road Wreck

Thomas – Car Accident

Thomas: Telephone Pole Collision

Fluids Blog

What Does It Mean to Tolerate Fluids?

Diane – Fire

Diane: Backyard Blaze

NEXUS Blog

When Should Spinal Immobilization Be Implemented Per NEXUS?

Anika - Plot Twist

Anika: Rock Climbing Catastrophe

ACS Blog

How Do You Differentiate Between Angina and ACS in Wilderness First Aid?

MARCH Blog

What Do I Do During a MARCH Assessment?

Electro Blog

What Should I Include as “Electrolytes” in a First Aid Kit?

George – Cutting the Nerve

George: Table Saw Disaster

Kenneth – Hypothermia

Kenneth: Cold Crisis in California Mountains