So just over an hour ago my volly service got a call for chest pain. Upon my arrival the male looked fine, no sweating, no difficulty breathing, no nothing basically.
I sit him down and start him on 15lpm 02 while I get a set of vitals and do history and get some SAMPLE, OPQRST answered.
Patient tells me he has hypertension and anxiety issues. I ask him if he ever had this problem before and he states no. Says this is worse than an anxiety attack.
Vitals were 190/100, 72 p, 18 r. I ask the patient if he has taken his meds today and he says yes.
One of the county medics arrives before the ambulance and the patient gives him a 180 of the story he gave me. Now he has had a cough for 3 days, coughing up blood, 10/10 chest pain, and pain on inhalation. The patient then says that he hasn't taken his meds in three days.
The patient was not presenting with physical signs of pain and when the medic asked him if it felt like his usual anxiety attack he responds with yes.
The patient walks to the ambulance and is transported with the medic on board because he is complaining of chest pain.
I had a good 10 minutes of interview time before the medic arrived and asked all sorts of questions regarding history and the current problem. Now I'm made to look like an idiot in front of the medic and the patients family. How often does this happen to other people? And do you do anything to keep it from happening or accept the fact that it is going to happen?
I sit him down and start him on 15lpm 02 while I get a set of vitals and do history and get some SAMPLE, OPQRST answered.
Patient tells me he has hypertension and anxiety issues. I ask him if he ever had this problem before and he states no. Says this is worse than an anxiety attack.
Vitals were 190/100, 72 p, 18 r. I ask the patient if he has taken his meds today and he says yes.
One of the county medics arrives before the ambulance and the patient gives him a 180 of the story he gave me. Now he has had a cough for 3 days, coughing up blood, 10/10 chest pain, and pain on inhalation. The patient then says that he hasn't taken his meds in three days.
The patient was not presenting with physical signs of pain and when the medic asked him if it felt like his usual anxiety attack he responds with yes.
The patient walks to the ambulance and is transported with the medic on board because he is complaining of chest pain.
I had a good 10 minutes of interview time before the medic arrived and asked all sorts of questions regarding history and the current problem. Now I'm made to look like an idiot in front of the medic and the patients family. How often does this happen to other people? And do you do anything to keep it from happening or accept the fact that it is going to happen?
