FISDAP Cardiology Practice Test

In the scenario described, a 48-year-old male experiencing crushing chest pain that radiates to the neck suggests a potential acute coronary syndrome (ACS), including a possible myocardial infarction (heart attack). The immediate course of action should prioritize the patient's safety and minimize the risk of further complications, which is why prompt transport is crucial.

Immediate transport allows for rapid evaluation and management, including advanced cardiac monitoring and potentially life-saving interventions such as medication administration or defibrillation if necessary. The timing of treatment is critical in cases of cardiac emergencies, as the sooner the patient receives appropriate care, the better the outcome is likely to be.

While other options, such as administering nitroglycerin or providing aspirin, can be part of the management protocol for chest pain, they should not delay transport. Monitoring vital signs and observing the patient may provide some information, but in cases of suspected acute cardiac events, the best practice is to transport the patient to a facility where they can receive comprehensive care quickly. Hence, immediate transport is the most prudent action.