truetiger
Forum Asst. Chief
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Nothing hard here...just figured I'd add a fresh scenario.
You are dispatched for "cardiac complications." You are told your patient is an 80 something year old female complaining of chest pain and hypertension. You arrive on scene to find your patient seated in a rocking chair. She stated she has having substernal chest pressure and rates it an 8/10. Nothing relieves or provokes the pain. It does not radiate. She stated this began this morning (time of call was 0730) and that she took her blood pressure (automated device) and found it to be 215/93. She stated she was hospitalized 3 days ago for the same problem and the outcome of that was an adjustment to her HTN meds.
General impression of this patient is of no distress. ABC's good. She complains of minor SOB and has a regular radial pulse (70's). Patient is loaded onto the stretcher and taken to the rig. EKG, pulse ox, 12 lead applied/performed. Sinus rhythm, 96% on RA, and a non diagnostic 12 lead. Patient no longer complaining of any chest pain.
Your choices of hospital are a regional medical center with a cath lab that is 25 mins away or the local hospital that is 10 mins away.
What would you do for this patient?
You are dispatched for "cardiac complications." You are told your patient is an 80 something year old female complaining of chest pain and hypertension. You arrive on scene to find your patient seated in a rocking chair. She stated she has having substernal chest pressure and rates it an 8/10. Nothing relieves or provokes the pain. It does not radiate. She stated this began this morning (time of call was 0730) and that she took her blood pressure (automated device) and found it to be 215/93. She stated she was hospitalized 3 days ago for the same problem and the outcome of that was an adjustment to her HTN meds.
General impression of this patient is of no distress. ABC's good. She complains of minor SOB and has a regular radial pulse (70's). Patient is loaded onto the stretcher and taken to the rig. EKG, pulse ox, 12 lead applied/performed. Sinus rhythm, 96% on RA, and a non diagnostic 12 lead. Patient no longer complaining of any chest pain.
Your choices of hospital are a regional medical center with a cath lab that is 25 mins away or the local hospital that is 10 mins away.
What would you do for this patient?