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As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:

  1. an order from a paramedic

  2. medical director approval

  3. the patient's condition

  4. the transport time to the hospital

The correct answer is: an order from a paramedic

Aspirin is commonly given to patients to help with chest pain as it has anticoagulant and anti-inflammatory properties. However, as an EMT, you are only authorized to administer aspirin if you have received an order from a paramedic. This is because a paramedic has a higher level of training and can assess the patient's condition and determine if aspirin is appropriate. Additionally, medical director approval is also needed as they are responsible for the overall medical protocols and procedures of an EMS agency. The patient's condition and transport time to the hospital may influence the decision to give aspirin, but ultimately it is the order from a paramedic that authorizes an EMT to administer it.