EMT Curriculum

4.12.C.2

Situation: 82 years old, complaint of chest pains

Chest Pains II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Chest Pain Resources: ALS

Chest Pain

Primary Assessment:

General Impression: Patient sitting in chair Mental Status: Alert Airway: Patent Breathing: 22. Slightly labored Circulation:

Palpable pulse at wrist, warm/dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Distended Neck Veins

Chest :

Unremarkable Crackles at bases Unremarkable

Vitals: 1

2

3

Abdomen:

Pulse: 84

86

86

Pelvis:

Unremarkable

BP:

122/82

104/76

90/62

Extremities:

Unremarkable

Resp:

12

12

12

SPO2: 94 PAIN: 6

97

97

Posterior :

Unremarkable

4

2

OPQRST: O:

SAMPLE: (bystander) S: My chest hurts A: Aspirin M: Nitro, Coreg P:

I have chest pain once in a while

P: Q: R:

It does not change

Like someone is pressing on me No – just in center of chest

Angina, Stent 12 years ago, hypertension

S: T:

6/10

L: E:

Cucumber sandwich 1 hour ago

2 hours

Watching TV

OTHER: THIS PATIENT HAS NOT HAD NITRO PTA. VITALS 2 is after 1st nitro. VITALS 3 is after 2 nd nitro.