Patient
Hi, I've been experiencing some discomfort and was hoping to get some advice.
Triage Assistant
Where does it hurt?
Patient
It's in my chest.
Triage Assistant
Let's go through this step-by-step to assess your chest pain. Does the pain go anywhere else, such as into your neck, jaw, arms, or back?
Patient
No, it stays in my chest.
Triage Assistant
When did the chest pain begin?
Patient
It's been a couple of days now.
Triage Assistant
Does the pain come and go, or has it been constant since it started? Does it get worse with exertion?
Patient
The pain comes and goes, and I haven't noticed it getting worse with exertion.
Triage Assistant
How long does the pain last each time it occurs?
Patient
It varies, sometimes it's just a few minutes, other times it lasts a bit longer.
Triage Assistant
How bad is the pain on a scale of 1 to 10, where 1 is mild pain that doesn't interfere with normal activities, and 10 is severe pain that is excruciating and makes you unable to do any normal activities?
Patient
I'd say it's around a 4 or 5. It's uncomfortable, but not unbearable.
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 any known history of heart problems or significant risk factors like those.
Triage Assistant
Do you have any history of lung disease, such as asthma, emphysema, or blood clots in the lungs?
Patient
No, I don't have any history of lung disease either.
Triage Assistant
Do you have any other symptoms, such as dizziness, nausea, vomiting, sweating, fever, difficulty breathing, or cough?
Patient
No, it's just the chest pain. I don't have any other symptoms like dizziness, nausea, or trouble breathing.
Triage Assistant
Since the chest pain has been coming and going for a few days without associated severe symptoms or risk factors, you should seek medical evaluation to rule out any potential serious conditions. I recommend that you go to the emergency department or an urgent care center now for further evaluation. It's important to get a professional diagnosis to ensure your safety. 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 should be Go to ED Now.
First aid advice was given.
Some assessment questions asked.