Patient
Hi, I'm experiencing some discomfort and need some advice.
Triage Assistant
Where does it hurt?
Patient
It's not exactly pain, but I feel a bit uncomfortable in my chest area.
Triage Assistant
Does the discomfort spread to your neck, jaw, arms, or back?
Patient
No, it's localized to my chest area.
Triage Assistant
When did the chest discomfort begin?
Patient
It started a few hours ago and hasn't gone away since.
Triage Assistant
Is the discomfort constant, or does it come and go?
Patient
It's been pretty constant.
Triage Assistant
On a scale from 1 to 10, where 1 is mild and 10 is severe, how would you rate your chest discomfort? To clarify: - MILD (1-3): doesn't interfere with normal activities - MODERATE (4-7): interferes with normal activities or awakens from sleep - SEVERE (8-10): excruciating discomfort, unable to do any normal activities
Patient
I would say it's around a 6. It's interfering with my normal activities.
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 family history of heart disease?
Patient
No, I don't have a history of heart problems or any major risk factors like that.
Triage Assistant
Do you have any history of lung disease, such as blood clots in the lung, asthma, or emphysema, or are you taking birth control pills?
Patient
No, I don't have any history of lung disease either, and I'm not taking birth control pills.
Triage Assistant
Do you have any other symptoms besides the chest discomfort, such as dizziness, nausea, vomiting, sweating, fever, difficulty breathing, or cough?
Patient
Yes, I've been having difficulty breathing, and my heart rate feels fast.
Triage Assistant
Given your symptoms, you should seek medical attention immediately. Please go to the Emergency Department now. First Aid: Lie down with your feet elevated. If your breathing worsens or you feel faint, call 911 immediately. 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)
Go to Office Now
See in Office Today
See in Office Today or Tomorrow
See in Office Within 3 Days
Home Care
Triage result was accurate.
First aid advice was given.
Some assessment questions asked.