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Agreed. How do you know it was a suicide attempt? Maybe someone is trying to cover up a murder scene making it look like a suicide.

Would you like to become a medic or doctor? Because while both are parts of medicine, they are totally different. Different roles, procedures, working environments, the list goes on. If you want to work in the pre hospital setting and provide the best care for your patients, become a parmedic...

I agree with all your points but this. How do you know this person was under the influence of drugs/alcohol?

Did the pt want to go to the hospital? Form your description it seems like the medic wanted to sign the pt off and they wanted to go?

This is exactly why I am trying to get a bike unit started in my department.

Also, what position was he in when the pressure was taken? Consider taking an orthostatic pressure/H.R.

What was his BP last doctors appt? Was he spinning or was the world around him spinning? Pulse seems a little too tachy, what is his usual pulse rate? Does he seem anxious or nervous? Does he feel dizzy currently? Chest pain, abdominal pain, SOB, excessive thurst, numbness/tingling...