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OCR: Chest pain: Pain suggestive ischemia Immediate assessment <10 minutes Immec diate general treatment Vital signs with automatic or standard BP cuff Oxygen at 4 L/mir Oxygen saturation Aspirin 160 to 325 mg Obtain IV access Nitroglycerin IV (if SL or pain spray not'relieved with Much of assessment the and immediate Obtain 12 lead ECG (physician reviews) Morphine Brief targeted 1 history and physical exam: focus nitroglycerin) treatment 'MONA") is on eligibility or thrombolytic therapy appropriately per formed Initial serum cardiac ker levels Memory aid: "MONA" greets all patients by the EMS system, Por Initial table .electrolyte chest x-ray and 130 coagulation minutes studies including the ECG and initial 12-I lead review for thrombolytic therapy indications Assess initial 12-lead ECG ST ele ...