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Well done! As a PA in primary care, your priority is to recognise the urgency of the situation and act quickly. Contacting emergency services and initiating aspirin therapy is the most appropriate action in this setting. This ensures the patient receives the necessary acute care at a hospital. Don’t forget to discuss with your supervising phyiscian! they will be the one in charge of prescribing the Aspirin after you have discussed with them.

This patient has symptoms consistent with a possible acute coronary syndrome (ACS). NICE guidelines recommend immediate emergency referral for chest pain suspected to be of cardiac origin. Administering Aspirin 300mg promptly can help reduce further clot formation.