• Scene- vitals, 12 lead, assess
• En route-IV, CBG, vitals 12 lead, NTG x1 0.4mg sl
• Hospital- unk
• Response to treatment – the pain would come and go with or without any meds; she never appeared to be in distress.
• Disposition – unk
• Mark Shelton Paramedic Woodburn Ambulance
• Chest pain of uncertain etiology.
• Myocardial infarction
• Gastro-esophageal reflux (GERD)
• Stroke (CVA)
• Aortic aneurysm
• Pulmonary embolism (PE)
• Pneumonia
• Patient states – Pain comes and goes quickly, sometimes it feels like heartburn and other times it feels like my heart.
• She is not compliant with gabapentin. States it makes her feel dizzy.
• GCS-15
• EKG-NSR
• CBG-87
• Gender: Female
• Age: 79 years
• Height: Not Available
• Temperature: Not Available
• Blood Pressure: 156/88
• Heart Rate: 96
• Respiratory Rate: 16
• Pulse Oximetry: 96% RA
Radiating, L-sided chest pain; shortness of breath.
• PHM: Stents, arthritis, HTN, CVA
• Allergies: Allergies-ASA, PCN
• Dispatch info: Difficulty breathing Social
• Lives alone in apt complex
• Amlodipine, gabapentin, B-12
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