What is the primary concern when a patient presents with chest pain?

When a patient presents with chest pain, the primary concern is to rule out myocardial infarction (MI), commonly known as a heart attack. This condition is a critical emergency that can lead to significant morbidity and mortality if not quickly identified and managed. Establishing the likelihood of an MI allows EMS providers to initiate appropriate interventions, such as medication administration or rapid transport to a facility capable of providing advanced cardiac care.

While oxygen delivery, pain management, and allergy assessments are important considerations in the overall management of a patient in distress, the immediate priority in the context of chest pain is to determine whether the pain is indicative of a cardiac event. This assessment often involves gathering a thorough history, performing a physical exam, and possibly conducting an electrocardiogram (ECG) to identify signs consistent with myocardial ischemia or infarction. By prioritizing the evaluation of heart-related issues, EMS providers can ensure timely and life-saving interventions.