Give him one aspirin tablet. It may limit or completely prevent heart attack damage to the heart muscle. Then, do whatever you can to reassure him and make him comfortable while you arrange for evacuation to the nearest shoreside medical facility. Speedy transfer to a hospital may allow doctors to give him a clot-busting drug to stop the heart attack in its tracks. If your patient has a prior history of pulmonary embolus, or has risk factors for it, he will need to be brought to a hospital for diagnostic tests and treatment.
Pleural pain is treated by treating the underlying cause of the pleural inflammation.
Ibuprofen or aspirin help. All rights reserved.