LAS46
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This was a call that we had a few months ago.
Dispatch: 58 yo female with chest pain
Arrive to find: female seated at kitchen table, SOB, pale, cool, clammy, radiating pain down left arm.
Assessment reveals:
Airway is patent but PT is SOB. Pupils are PERRL, Lung sounds are clear, Skin is pale, cool and clammy. Pain started 2 hours ago. PT was watching TV when the pain started. Any movement makes the pain worse. PT complains of crushing pain. Pain is 8 on a 10 scale. Pain has got worse over the last 30 min. Physical exam does not reveal any injuries.
Vitals are as follows:
Pulse- 100
Blood pressure-148/90
Alergies-NKA
Meds-nitro, lipitor, high BP meds
Past Medical History-angina, hypertension, stints
TX: Gave 3 Nitro, also gave 325mg Aspirin.
Patient Response: no response to 3 nitro administration
ALS: Consideration
(Hospital is 15 minutes away. ALS Available if needed.)
Follow-up with your comments and TX.
Dispatch: 58 yo female with chest pain
Arrive to find: female seated at kitchen table, SOB, pale, cool, clammy, radiating pain down left arm.
Assessment reveals:
Airway is patent but PT is SOB. Pupils are PERRL, Lung sounds are clear, Skin is pale, cool and clammy. Pain started 2 hours ago. PT was watching TV when the pain started. Any movement makes the pain worse. PT complains of crushing pain. Pain is 8 on a 10 scale. Pain has got worse over the last 30 min. Physical exam does not reveal any injuries.
Vitals are as follows:
Pulse- 100
Blood pressure-148/90
Alergies-NKA
Meds-nitro, lipitor, high BP meds
Past Medical History-angina, hypertension, stints
TX: Gave 3 Nitro, also gave 325mg Aspirin.
Patient Response: no response to 3 nitro administration
ALS: Consideration
(Hospital is 15 minutes away. ALS Available if needed.)
Follow-up with your comments and TX.