Suspected heart attack
Also called heart attack, chest pain emergency, dil ka daura, seene me dard, myocardial infarction
What you are dealing with
Crushing chest pain or pressure, often spreading to the arm, jaw or back, with sweating, nausea or breathlessness. Minutes of heart muscle are lost every minute.
Do this, in this order
- Call 112 or 108 immediately and say you suspect a heart attack, so the right ambulance is sent.
- Sit the person down, half sitting with knees bent, and loosen tight clothing at the neck and waist.
- Keep them calm and completely still. Any exertion increases the strain on the heart.
- If they already have a doctor prescribed spray or tablet for angina, help them use their own as they normally would.
- The emergency operator may tell you to give a 300 mg aspirin to chew, if the person is fully awake and not allergic to it. Do this only if they instruct you.
- Stay with them, and if they become unresponsive and stop breathing normally, start chest compressions.
Never do this
- Never drive the person to hospital yourself if an ambulance can come. Ambulances carry oxygen, monitoring and defibrillators.
- Do not let them walk, climb stairs or carry anything.
- Do not give any medicine belonging to somebody else.
- Do not wait to see whether the pain settles. Half of heart attacks are dismissed as gas or acidity.
Call an ambulance if
- Call the moment you suspect it. It is far better to be wrong than to be late.
After the emergency
Get it looked at properly
First aid buys time, it does not finish the job. Most of these situations need a doctor to check what happened, prevent infection, and decide whether anything more is needed.