Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial ischemia, what would you first actions include?

a. Administer aspirin
b. If considering prehospital fibrinolysis, use the fibrinolytic checklist
c. Provide prehospital notification to the receiving hospital
d. consider oxygen, nitroglycerin, and morphine if needed
e. obtain a 12 lead ECG