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C.p Besides being an EMT, I sometimes work in the Emergency Room at our hospital. I recently had this patient walk in off the street with Chest Pain. I sat him in a wheelchair to take him to the Emergency room. I started asking questions, to see if it traveled anywhere, weather he was short of...

I think i would see if I can't have dispatch tone for ALS and get them in route. This guy sounds septic but also is very ill. I would probably assist him in his breathing, since it is fast and shallow and 32. Get him on the stretcher and move meeting ALS on the way.