1. The document presents an algorithm for the assessment, treatment, and management of acute coronary syndromes, including ST-elevation myocardial infarction (STEMI) and high-risk unstable angina/non-ST-elevation MI (UA/NSTEMI). 2. It outlines the steps for EMS assessment and care, including acquiring an ECG, administering aspirin and nitroglycerin, and activating the cardiac cath lab. 3. At the hospital, it recommends further tests and treatments depending on the patient's risk level and ECG findings, with goals of door-to-balloon times under 90 minutes for STEMI and door-to-needle times under 30 minutes for fibrinolysis