Title: Case Study 10-8 Cardio Emergency
Course: EMS 1119 Emergency Medical Technician > Section: Module X Medicine

Type your answers in a Word or Rich Text document and upload. Each answer is worth 3 points for a 30 point total.

Your BLS unit has been dispatched to an early morning call at a office complex for a man not “feeling well." Upon arrival at 7:15 AM, you are directed to an adult male sitting at his desk who states he is having chest pain. General assessment is a 59 year old male with a history of mild hypertension that is controlled with medication. The patient appears to be of proportionate weight for his height. Your system status is all ALS units are on calls. The office complex is 10 miles from the hospital, 20 minutes in normal traffic.

Patient assessment results:

- Arrive at patient at 7:17 AM
- BP: 142/88
- HR: 84, regular
- RR: 16, non-labored
- OxSat: 97%

1. What specific questions need to be asked of this patient as part of your assessment, be specific?
2. Identify at least three characteristics of cardiac related pain?
3. What is atypical chest pain? Give an example.
4. During your questioning of the patient, he indicates he has eaten less than an hour ago and describes the pain as sub sternal. You note that he is not diaphoretic. What medication history should you elicit from the patient?
5. What are your treatment priorities for this patient?
6. If this patient had a cough or complained that the pain was not continuous, what condition is most likely being presented?
7. Assume the original scenario and vital signs. The patient reports this is his first day back at the office after a 4 day hospital admission for a severe ear infection requiring IV antibiotic therapy. In the span of 5 minutes since your first assessment, he begins to cough and complain of shortness of breath. He still has chest pain. You recheck his BP and it is now 110/60, HR 104. What condition do you suspect?
8. What is your priority treatment for the patient in Q.7.?
9. Assume the same scenario only the patient is 23 years old, 6 ft. 4 in. and has a family history of CAD. He indicated that his farther passed away of a heart attack at 40. He takes no medication. VS are as above. He has unequal breath sounds. Is this chest pain of cardiac origin? Explain your answer.
10. What is the most likely cause of the chest pain in question 7.