Patient
Hi, I'm not feeling well and I'm really concerned about some symptoms I've been experiencing. Could you help me figure out what might be going on?
Triage Assistant
Sure, I can help with that. Where does it hurt?
Patient
I've been having some pain in my chest.
Triage Assistant
Does the pain go anywhere else, like your neck, jaw, arms, or back?
Patient
No, the pain is mainly in my chest.
Triage Assistant
When did the chest pain begin? Minutes, hours, or days ago?
Patient
It started recently, maybe a few hours ago.
Triage Assistant
Has the pain been constant since it started, or does it come and go? Does it get worse with exertion?
Patient
It's been pretty constant, and it does seem to get worse when I try to move around.
Triage Assistant
How long does the pain last? Seconds, minutes, or hours?
Patient
The pain has been lasting for hours.
Triage Assistant
How bad is the pain on a scale of 1-10, where 1 is mild and 10 is the worst pain imaginable? For reference: - 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'd say it's around a 6 or 7. It definitely interferes with my activities and I've had to lie down because of it.
Triage Assistant
Do you have any history of heart problems or risk factors for heart disease such as diabetes, high blood pressure, high cholesterol, smoking, or a strong family history of heart disease?
Patient
I don't have a history of heart problems, but I do have high blood pressure. My dad also had a heart attack a few years ago.
Triage Assistant
Based on your symptoms and risk factors, you may be experiencing a serious cardiac event. Call 911 immediately for emergency medical assistance. While you wait for help to arrive, lie down with your feet elevated. If you have no allergies to aspirin, you may chew an aspirin (160 to 325 mg) to help until the paramedics arrive. 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 Go to ED/UCC Now (or to Office With PCP Approval).
First aid advice was given.
Some assessment questions asked.