• Pain or crushing sensation in the middle of the chest for at least two minutes.
• Fear of imminent death, anxiety.
• Pain may move (radiate) to shoulders, neck, jaw or arms (refer to picture 2-2).
• Confusion.
• Severe sweating and pallor.
• Nausea.
• Intermittent breathing.
• Weakness.

What to DO:

• If the patient is unconscious, follow instructions on Chapter 1.1.
• If conscious, reassure, place in a comfortable position in a well ventilated environment and do not move (see picture 2-3). Undo tight clothing.
• Administer a nitroglycerine tablet under the tongue (DRAWER 1, First aid kits A, B and C), and repeat the dose after five minutes if the pain is not relieved.
• Ask for MEDICAL ADVICE VIA RADIO .

• Sudden onset, which may be followed by severe headache.
• Paralysis, loss of sensibility or weakness, most commonly on one side of the face or body (see picture 2-4).
• One side of the face or the body is flaccid (deviated).
• Speech ability may be impaired.
• May have a low consciousness level (confusion), which may lead to unconsciousness.
• Pupils may not be symmetrical (see picture 2-5).
• Slow breathing rate, which may resemble snoring.
• Excessive salivation.

• If the patient is unconscious, follow instructions on Chapter 1.1.
• If conscious, reassure the patient.
• Place in a comfortable and stable position, trying to slightly raise head, neck and shoulders (see picture 2-6).
• Ask for MEDICAL ADVICE VIA RADIO .