# Chest Pain of Suspected Cardiac Origin or Suspected Angina Equivalent Symptoms

Official OCEMS reference: SO-C-015.
Collection: Standing orders. Source topic: Cardiac - ALS Standing Orders.
Population: All / see source. Scope: ALS.
Source index update: July 15, 2021. Source checked: 2026-09-16.

Independent OC Medic source briefing. The complete official document remains authoritative for exact requirements, exceptions, and clinical or administrative language.

## Document profile

- Document type: Clinical standing order
- Where it fits: Chest Pain of Suspected Cardiac Origin or Suspected Angina Equivalent Symptoms is an official standing-order reference used to verify assessment, treatment authority, base-contact triggers, and transport direction.
- Document note: Use the complete official document for mandatory wording, exceptions, definitions, and requirements that cannot be reduced safely to directory metadata.

## Use this source safely

- Match the patient, age group, presentation, and provider scope before applying a standing-order pathway.
- Verify medication doses, repeat limits, base-contact requirements, and transport language in the complete current document.
- Check current OCEMS notices and agency direction before field use.
- When the source and a summary differ, follow the current official document and medical or operational direction.

## Related OC Medic guides

- [Chest pain & suspected ACS](https://www.ocmedic.com/guides/chest-pain/): Obtain an early 12-lead, check medication exclusions, and coordinate a cardiac destination.
- [Respiratory distress](https://www.ocmedic.com/guides/respiratory-distress/): Use the wheeze, suspected CHF, or stridor pathway and reassess ventilation.
- [Aspirin](https://www.ocmedic.com/guides/aspirin/): Adult suspected cardiac ischemia and the limits of pediatric and fire-service use.
- [Fentanyl](https://www.ocmedic.com/guides/fentanyl/): Adult and pediatric analgesia, route-specific doses, and the young-child base-contact requirement.
- [Morphine sulfate](https://www.ocmedic.com/guides/morphine/): Adult formulation-dependent doses and pediatric weight-based analgesia.
- [Nitroglycerin](https://www.ocmedic.com/guides/nitroglycerin/): Sublingual adult cardiac/pulmonary-edema treatment and separately authorized transport infusions.
- [Cardiovascular receiving centers](https://www.ocmedic.com/reference/240-40-list-of-cardiovascular-receiving-centers/): The current OCEMS Cardiovascular Receiving Center list, with the key distinction between designation and cath-lab availability.

## Related official references

- [SO-C-010 - Cardiopulmonary Arrest - Adult / Adolescent Non-Traumatic](https://www.ocmedic.com/reference/so-c-010-cardiopulmonary-arrest-adult-adolescent-non-traumatic/)
- [SO-C-045 - Cardiac Arrest with Left Ventricular Assist Device (LVAD)](https://www.ocmedic.com/reference/so-c-045-cardiac-arrest-with-left-ventricular-assist-device-lvad/)
- [SO-C-025 - Narrow Complex QRS Complex Tachycardia](https://www.ocmedic.com/reference/so-c-025-narrow-complex-qrs-complex-tachycardia/)
- [SO-C-030 - Narrow QRS Complex Tachycardia - Irregular Rhythm - Adult/Adolescent](https://www.ocmedic.com/reference/so-c-030-narrow-qrs-complex-tachycardia-irregular-rhythm-adult-adolescent/)
- [SO-C-020 - Symptomatic Bradycardia - Adult/Adolescent](https://www.ocmedic.com/reference/so-c-020-symptomatic-bradycardia-adult-adolescent/)
- [SO-C-040 - Wide QRS Complex Tachycardia with a Pulse - Adult/Adolescent](https://www.ocmedic.com/reference/so-c-040-wide-qrs-complex-tachycardia-with-a-pulse-adult-adolescent/)

## Official source

- [Open the official document](https://www.ochealthinfo.com/sites/hca/files/2021-07/SO-C-15%20updated.pdf)
- [View the official source index](https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems-standing)
- [OCEMS notices and system updates](https://www.ochealthinfo.com/providers-partners/emergency-medical-services)