Patient
Hi, thank you for taking my call. I'm experiencing some discomfort and was hoping to get some advice.
Triage Assistant
Where does it hurt?
Patient
It's a sharp pain in my chest.
Triage Assistant
Does the pain go anywhere else, like into your neck, jaw, arms, or back?
Patient
Yes, it's also going into my left arm.
Triage Assistant
When did the chest pain begin?
Patient
It started earlier today.
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 since it started, and it seems to get worse with exertion.
Triage Assistant
How long does each episode of pain last — seconds, minutes, or hours?
Patient
The pain has been lasting for hours now.
Triage Assistant
On a scale of 1 to 10, how severe is the pain? Here is how we define the levels: - 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
It's around a 7, so I would say it's moderate and it definitely interferes 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 strong family history of heart disease?
Patient
I don't have a personal history of heart problems, but my father had a heart attack a few years ago. I do have high blood pressure, though.
Triage Assistant
You need to seek medical attention immediately. Call 911 now. Lie down with your feet elevated while you wait for the paramedics to arrive. If you aren't allergic to aspirin, you may chew an aspirin (160 to 325 mg) while waiting for them. 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 was accurate.
First aid advice was given.
Some assessment questions asked.