Interventions prior to EMS arrival: None.Ĭhest exam: No sign of trauma, chest wall is symmetrical and nontender.īreath sounds: Clear and equal bilaterally to auscultation. Time of onset: “This began about an hour ago.” Radiation/Referred: “The pressure stays in my chest. Nothing that I do makes it better or worse.” Provocation/Palliation: “This pressure in my chest isĬonstant.
Jems emt practice test skin#
Level of consciousness: Conscious and alert to person, place and time restless and anxious.Ĭhief complaint: “My chest feels tight and I feel really weak.”Īirway and breathing: Airway is patent respirations are slightly increased and unlabored.Ĭirculation: Radial pulse is rapid, strong and regular skin is cool, clammy and pale. The patient tells you that his doctor prescribed nitroglycerin for him however, because he recently moved into the house, he thinks it’s still packed in one of the boxes.
Your partner administers 100% oxygen to the patient with a nonrebreathing mask while you perform a focused history and physical examination (Table II). Your partner attaches a pulse oximeter and prepares to administer oxygen to the patient. You sit the patient down and perform an initial assessment (Table I). What is the significance of the patients clenched fist in the center of his chest? You note that he is diaphoretic and anxious, and is clenching his fist against the center of his chest.ġ.
A middle-aged male answers the door and identifies himself as the patient. You arrive at the scene, don appropriate BSI precautions and ensure that the area is safe, then knock on the door of the patient’s residence. The closest hospital from the scene is 40 miles away. You and your partner proceed to the scene, with a response time of approximately eight minutes. Use this case study as an educational tool by answering the questions posed by the author, then reviewing the answers further down.Īt 6:45 a.m., your unit is dispatched for a 50-year-old male with chest pain.
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