As-Salam-o-Alaikum Respected Readers,

Today we will update you on “Use of Aspirin in chest pain (sign of cardiac arrest)”.

Use of Aspirin while suffering with chest pain was not addressed in 2005 guidelines but it is now included in the latest guidelines.

Courtesy to American Heart Association (AHA) for sharing with us that evidences from two large, randomized studies clearly demonstrated that the administration of aspirin within the first hours of onset of chest discomfort in people with acute coronary syndromes reduced mortality.

Let see how it is drafted in the latest guidelines.

2010 Guidelines: “While waiting for EMS to arrive, the first aid provider may encourage the victim to chew 1-adult (not enteric coated) or 2 low-dose baby aspirin if the patient has no allergy to aspirin, other contraindication to aspirin, such evidence of a stroke or recent bleeding.”

It is very clear from the above excerpt that first aid provider may encourage and not states that he/she should himself/herself can administer (if semi-conscious then it is already late for this). Meanwhile, first aid provider should also (if appropriate) ask patient of any allergy to aspirin or other contraindications if he/she knew and could be of great help for EMS personnel as well.

To Your Success,

Faisal Javed Mir