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Then as the call progresses
The paramedic can conclude a heart attack is occurring, using the 12-lead EKG; will start an IV, give Nitroglycerine and prepare to give Morphine if needed.
The paramedic will reassess the patient and rule out contraindications for additional medications.
The patient will receive medication to lower blood pressure and reduce the work load of the heart and medicine to thin the blood.
The paramedic will reassess the patient, again.