Patient
Hi, I've been experiencing some discomfort and I'm hoping to get some advice on what might be going on.
Triage Assistant
I'm here to help. Where exactly does it hurt?
Patient
It's in my chest.
Triage Assistant
Does the pain go anywhere else, like your neck, jaw, arms, or back?
Patient
No, it's pretty much just in my chest.
Triage Assistant
When did the chest pain begin?
Patient
It started a little while ago during a workout.
Triage Assistant
Does the pain come and go, or has it been constant since it started? Does it get worse with exertion?
Patient
It's been pretty constant since it started. I did notice it during my workout and even after resting, it hasn't really subsided.
Triage Assistant
How long does the pain last—seconds, minutes, or hours?
Patient
It's been going on for a couple of hours now.
Triage Assistant
On a scale from 1 to 10, where 1 is mild pain and 10 is the worst pain imaginable, how would you rate your pain? - MILD (1-3): doesn't interfere with normal activities - MODERATE (4-7): interferes with normal activities or awakens from sleep - SEVERE (8-10): excruciating pain, unable to do any normal activities
Patient
I would say it's around a 6 or 7. It definitely makes it hard to concentrate and do usual activities.
Triage Assistant
Do you have any history of heart problems or risk factors for heart disease? This includes things like diabetes, high blood pressure, high cholesterol, smoking, or a strong family history of heart disease.
Patient
I don't have diabetes or high blood pressure as far as I know, but I do have a family history of heart disease.
Triage Assistant
Given your symptoms and family history, I strongly advise you to go to the emergency department immediately for further evaluation. Chest pain lasting over 5 minutes, especially when it doesn't go away and impacts daily activities, is concerning. While you wait for medical help, you should: - Rest and avoid any exertion. - If you are trained in CPR, have someone nearby who can help continue to monitor you. Thank you for calling, goodbye.
Call EMS 911 Now
See More Appropriate Protocol
Go to ED Now
Go to ED/UCC Now (or to Office With PCP Approval)
Callback by PCP Within 1 Hour
See in Office Today
Home Care
Triage result should be Call EMS 911 Now.
First aid advice was given.
Some assessment questions asked.