Cardiac Collapse + Nitro + ED Meds

[stillnotcharlie]

I would love the wisdom of the educated crowd on this one.  I am not an EMT.  Just interested in understanding how an EMT or Paramedic would approach this hypothetical:

A 70 year old man collapses in a hotel lobby after having chest pain.  By the time EMS is there, he is unresponsive and likely having a massive heart attack.

Do you ever give nitro in this situation?  How do you know if there are contraindications like ED meds? 

Assuming nitro is something you would give, what happens if the patient was on ED meds and was given nitro as well? 

[paramedicmike]

I'm not convinced this is actually "hypothetical".

[Just Plain Ruff]

Well this sort of sounds like some of the other situations we have encountered in this forum.  

Stillnotcharlie, we have been presented these questions before on a hypothetical basis and they have actually been family members looking for evidence to sue EMS providers or Hospital employees or just bystanders for doing things that should or should not have been done. 

You probably won't get an answer to your question here hence the "Hypothetical" comment by Paramedicmike nor a response to me unless you give us more background on the call or scenario.  Could this have been your grandfather? 

[1EMT-P]

Unfortunately there is no way to answer your question without having additional patient information. Including the patient’s  Allergies? Medications? Past Medical History? Events prior to the emergency. In all honesty this sounds like a real situation. 

[Just Plain Ruff]

22 hours ago, 1EMT-P said:

Unfortunately there is no way to answer your question without having additional patient information. Including the patient’s  Allergies? Medications? Past Medical History? Events prior to the emergency. In all honesty this sounds like a real situation. 

Yes I agree that this sounds like a real situation.  And yes there is a lot missing. 

Would like the original poster to return to give more information.  

If this is his loved one that would be very helpful to know. 

If he's searching for answers to why paramedics or emt's did this or that and this might go to court for malpractice, he's not really going to get any information from  us to possibly hang those medics out to dry as that is what the court system is for and that's what the expert witnesses get paid big bucks to do.  

I don't expect the OP to return but I would like him/her to do so in order for us to understand more of what they are wanting us to answer.