Which of the following interventions should be part of the initial assessment for a patient suspected of having ACS?

The initial assessment for a patient suspected of acute coronary syndrome (ACS) is critical for promptly determining the appropriate treatment and management. Ordering a 12-lead ECG is a vital component of this assessment because it allows for the identification of any acute ischemic changes, arrhythmias, or other cardiac anomalies. The ECG provides immediate insight into the electrical activity of the heart, which is essential for diagnosing conditions such as myocardial infarction or unstable angina.

This immediate assessment can guide treatment decisions, including the need for medications like antiplatelets or thrombolytics, and interventions such as catheterization. Early detection through a 12-lead ECG can significantly impact patient outcomes, making it a priority in the management of a suspected ACS patient.

In terms of the other options, while IV fluids and chest X-rays may be part of the overall management in certain cases, they are not the immediate priority or standardized interventions for the initial assessment of ACS. Delaying cardiac monitoring would also be inappropriate, as continuous monitoring is essential to detect any changes in the patient’s condition promptly. Therefore, obtaining a 12-lead ECG aligns precisely with up-to-date protocols for the initial assessment of suspected ACS.