• Scene – O2, vitals
• En Route – vitals, IV, cardiac monitor, 162mg ASA.
• Hospital – not known
• Response to treatment – no change
• Disposition – pt transported to OHSU code 3 without change
• Eric Boyd, Paramedic Woodburn Ambulance
• David Tauber, EMT Editorial Board
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Chest pain
• Shortness of breath
• MI • LVAD malfunction
• Arrhythmia
• Pneumonia
• Pulmonary embolus
• Congestive heart failure
• Patient states – sudden onset of sharp left-sided chest pain with some radiation to left arm.
• Pt states – pain is the same as when he had his last MI, but worse this time.
• Pt states – he took 162mg of ASA with onset of pain.
• Pt states – he has regular appointments for his LVAD check-up, and at the last appt., everything was normal.
• Pt denies any recent trauma
• Bilateral breath sounds bilateral and equal.
• GCS – 15
• EKG – Sinus tach
Obtaining history that the patient’s chest pain felt similar to his last myocardial infarction is important.
-Dr. David Spiro
• Gender: Male
• Age: 66 years
• Height: Not Available
• Temperature: Not Available
• Blood Pressure: Not Available
• Heart Rate: 104
• Respiratory Rate: 20
• Pulse Oximetry: 100% RA
Radiating, L-sided chest pain; shortness of breath.
• PMH: Myocardial infarction (MI), type-1 diabetes, hypertension (HTN).
• Allergies: None
• Dispatch info: Chest pain; shortness of breath (SOB); LVAD patient.
• Lives at home with wife
• No self reported tobacco and alcohol use.
• Pt states regular medical exams.
• ASA 162 mg
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