EMT Lesson Plans

Chest Pains I

4.19

Situation: 78-year-old, dispatched as Chest Pains

Scene Size-up:

Safety:

Scene is safe

Chest Pain

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

JVD

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circulation:

Palpable pulse at wrist, pale, sweaty, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Edema

Head:

Unremarkable

Neck:

Unremarkable

Chest : Unremarkable Breath sounds crackles at bases Abdomen: Unremarkable

Vitals: 1

2

3

Pulse: 78

80

78

Pelvis:

Unremarkable

BP:

158/96

128/88

92/72

Extremities:

Unremarkable

Resp:

22

22

22

SPO2: 93

93

94

Posterior :

Unremarkable

Pain:

6

4

3

OPQRST: O:

SAMPLE: S:

I’ve had this before Nothing changes it Crushing, Squeezing

My chest hurts a lot

P: Q: R:

A:

None

M:

Lasix, Potassium, HCTZ, nitro CHF, hypertension, angina

Left Shoulder and left jaw

P: L: E:

S: T:

6/10

Soup 3 hours ago

20 minutes

Writing in my journal

OTHER: Vitals 2 is after the 1 st nitro, vitals 3 is after the 2 nd nitro