ETHOS

I have a severe chest pain that’s lasted for an hour and I'm having difficulty breathing.

Patient

Hi, I need some advice regarding a medical issue I'm experiencing right now.

Triage Assistant

I can help with that. Where does it hurt?

Patient

It's in my chest.

Triage Assistant

Does the pain go anywhere else, such as into your neck, jaw, arms, or back?

Patient

No, it's just in my chest.

Triage Assistant

When did the chest pain begin?

Patient

About an hour ago.

Triage Assistant

Is the pain constant or does it come and go? Does it get worse with exertion?

Patient

It's been constant since it started.

Triage Assistant

How would you rate the pain on a scale of 1 to 10, where 1 is mild (doesn't interfere with normal activities) and 10 is severe (excruciating pain, unable to do any normal activities)?

Patient

I'd say it's about an 8. It's quite severe.

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 have high blood pressure, and my dad had a heart attack when he was 50.

Triage Assistant

You need to call 911 right away. This could be a serious condition such as a heart attack. Stay calm and try to lie down with your feet elevated while you wait for the paramedics to arrive. If you are not allergic to aspirin, you can chew a regular aspirin (160-325 mg). Thank you for calling, goodbye.

Dispositions

  • 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.