Chris EMT J
Forum Lieutenant
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Hi had this patient that was a young adult with chest pain. I did a quick BSI assessment, then saw 1 patient, asked for HPI and Pmx which was pain started 10 minutes ago no other symptoms and no past medical history, SAMPLE: CP, no allergies, no meds, no pmx, last oral intake was a healthy breakfast 6 hours, no events leading to. OPQRST: onset, non prevoked, described as sharp, non radiating, 10/10 severe but not constant pain, started 15minutes ago.
After history I was pretty re-ensured. Did a exam which was normal breathing and heart sounded fine. Did a ECG and I saw a normal rate and saw it was sinus. The medic saw a completely normal ECG and vitals were all normal. We established a line and I gave aspirin. BP was normal but soft so didn't give nitro. I have the ECG for you guys and gals to look at and give your opinion but also had a question of wether you would still have given nitro with a BP of 108/59? Protocol says give nitro if BP is not low but instinct said no because BP may become really low. Paramedic said nitro may not help this type of pain anyway and that he wouldn't risk hypotension but what do you think? Yes or no to aspirin?
After history I was pretty re-ensured. Did a exam which was normal breathing and heart sounded fine. Did a ECG and I saw a normal rate and saw it was sinus. The medic saw a completely normal ECG and vitals were all normal. We established a line and I gave aspirin. BP was normal but soft so didn't give nitro. I have the ECG for you guys and gals to look at and give your opinion but also had a question of wether you would still have given nitro with a BP of 108/59? Protocol says give nitro if BP is not low but instinct said no because BP may become really low. Paramedic said nitro may not help this type of pain anyway and that he wouldn't risk hypotension but what do you think? Yes or no to aspirin?