b'Chapter hapterHow to ManageReassure and have the patient rest in a comfortable position, preferably sitting and leaningforward. The more calm and relaxed the patient, the less strain on the heart.Fear and anxiety causes the body to produce adrenaline which stimulates the heart to pump harder and faster.Loosen any tight or restrictive clothing to help breathing.To reduce the severity of permanent damage to the heart muscle or the chanceof sudden death from a heart attack, urgent medical assistance is required, Every Minute Counts. Call Ambulance 000. Discourage any physical activity or unnecessary movement.You may assist the patient with their prescribed medication.Medical advice may be sought to allow the patient aspirin (300mg) dissolvable preferred.Aspirin is known to be a powerful anticoagulant medication in addition to its anti-inflammatory and pain relieving properties. It may also help reduce the formation and extent of a blood clot in the blocked artery thus limiting the amount of damage to the heart muscle (myocardium).Administer Oxygen (if you are trained in its use) if there are obvious signs of shortness ofbreath.Reassure and closely monitor patient for response, airway, normal breathing while waiting forAmbulance.If the patient loses consciousnessGently place the patient into the recovery position and closely monitor patient for response,airway, normal breathing while waiting for Ambulance.Be prepared to commence resuscitation/defibrillation.Early defibrillation is critical as it is the ONLY way to revert lethal heart rhythms.Medical Emergencies 197'