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Cardiac Chest Pain?


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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?

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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 by craig
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  • 2 months later...

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

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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!!!!!!!

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  • 1 month later...

-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

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