island emt Posted February 15, 2013 Share Posted February 15, 2013 Worse with exertion? Has he been out shoveling snow recently? Or any other non normal strenuous activities? Lung sounds bilaterally? Any history of hypertension,? Stroke? anxiety? When was last visit to primary care phys. ? Is the 182/110 his normal BP? Any prescribed medications? Any over the counter meds or herbal products? Link to comment Share on other sites More sharing options...
craig Posted February 15, 2013 Share Posted February 15, 2013 (edited) Dispatch: Caller states that his father is experiencing chest pain. You arrive to find a 30 year old male meeting you at the door saying his father is having terrible chest pain please hurry! Your patient is a 54 year old male patient. You find your patient sitting in his recliner holding his chest, the patient appears anxious. He says he has never had this chest pain before but needs you do something, he thinks he is having a heart attack. Who's on first? What's on second and I don't know is on third.................... BTW he probably is having a heart attack... Edited February 15, 2013 by craig 1 Link to comment Share on other sites More sharing options...
systemet Posted February 18, 2013 Share Posted February 18, 2013 With a pressure like that, it might be worth getting bilateral B/Ps. Link to comment Share on other sites More sharing options...
MariB Posted February 19, 2013 Share Posted February 19, 2013 Tearing pain? Link to comment Share on other sites More sharing options...
ERDoc Posted February 19, 2013 Share Posted February 19, 2013 Does the pain change with position? Any recent illness (uri type symptoms, etc?) Link to comment Share on other sites More sharing options...
Kiwiology Posted February 20, 2013 Share Posted February 20, 2013 Damn it Emergentologist you are as bad as Trev, is not pericarditis! Link to comment Share on other sites More sharing options...
ERDoc Posted February 20, 2013 Share Posted February 20, 2013 I don't think we'll ever know since the OP seems to have disappeared. Link to comment Share on other sites More sharing options...
FireEMT2009 Posted May 4, 2013 Author Share Posted May 4, 2013 Sorry, guys I haven't disappeared, I have been busy with other things. It was more of a working through a chest pain call, but over time I have unfortunaely lost track of it. I apologize this was not as well run as I hoped it would be. FireMedic2009 Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted May 6, 2013 Share Posted May 6, 2013 Sorry, guys I haven't disappeared, I have been busy with other things. It was more of a working through a chest pain call, but over time I have unfortunaely lost track of it. I apologize this was not as well run as I hoped it would be. FireMedic2009 NO SOUP FOR YOU!!!!!!! Link to comment Share on other sites More sharing options...
musicislife Posted July 2, 2013 Share Posted July 2, 2013 -from my protocols and scope of practice as an EMT history? Pain worse on palpation? anything that worsens it or makes it better Family history of heart problems? Trauma? Flight recently? What is the pain like? Could it just be some bad heartburn? Last oral intake? Allergies? Aspirin if on scene and not otherwise contraindicated. Nitro if it is prescribed to him and if his pressure is good. check lung sounds just in case, although this definitely sounds more cardiac in nature. Take vitals, give o2 2-4 lpm via nasal canula if his SpO2 is good That is about all i would do for him, besides calling ALS Link to comment Share on other sites More sharing options...
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