Patient
Hi, I've been feeling pretty unwell lately and I'm really concerned. I'm not sure if it's something serious, but I wanted to get some advice.
Triage Assistant
I'm here to help. Could you please tell me where it hurts?
Patient
Sure, it's my chest that's been hurting a lot.
Triage Assistant
I need to ask you a few questions to better understand your condition. Does the pain go anywhere else, like into your neck, jaw, arms, or back?
Patient
No, it doesn't really move around. It just stays in my chest.
Triage Assistant
When did the chest pain begin?
Patient
It started a couple of days ago, but it's been getting progressively worse.
Triage Assistant
Does the pain come and go, or has it been constant since it started? Does it get worse with exertion?
Patient
It comes and goes, but it's definitely worse when I'm moving around or doing any kind of physical activity.
Triage Assistant
How long does each episode of pain last (e.g., seconds, minutes, hours)?
Patient
Each episode probably lasts a few minutes, not usually longer than that. But it can be really intense when it does happen.
Triage Assistant
On a scale of 1 to 10, how would you rate the severity of the pain during these episodes? - MILD (1-3): does not interfere with normal activities - MODERATE (4-7): interferes with normal activities, or wakes you from sleep - SEVERE (8-10): excruciating pain, unable to perform any normal activities
Patient
I'd say it's usually around a 6 or 7; it's definitely interfering with what I can do.
Triage Assistant
Do you have any history of heart problems or risk factors for heart disease (e.g., diabetes, high blood pressure, high cholesterol, smoking, or a strong family history of heart disease)?
Patient
Yes, I have a significant family history of heart disease which is why I'm really worried about this.
Triage Assistant
Given your symptoms and significant family history of heart disease, you should seek medical attention immediately. Please go to the emergency department as soon as possible. If possible, have someone else drive you or call for emergency medical services. 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.
Incomplete first aid advice given.
All assesssment questions asked.