87 yom complaining of chest discomfort and dyspnea
On a Thurday morning, approximately 02:15 hrs, in a small rural town, your EMS unit is dispatched to a residence for an 87 year old male with difficutly breathing.
You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, place, time, event) and with a GCS of 15. He appears to be in moderate respiratory distress, diaphoretic, with rapid and slightly labored breathing and muscle retraction, but yet, he's smiling at you and tries to explain what happened. He tells you, he woke up 15 minutes ago because he could not breath while laying down.
Primary assessment:
Patent airway
Shallow and labored breathing with bilateral rales upon auscultation
Weak and slightly irregular radial pulses
Skin: cool to touch, pale and diaphoretic with >2 sec. capillary refill time
No signs of external bleeding
He is also complaining of chest discomfort throughout his entire chest, rated 7/10, non-radiating which started at the same time he woke up from his sleep. Nothing makes this discomfort better or worst.
Past Medical Hystory:
Hypertension (HTN)
Hyperlipidemia
Hypothyroidism
Asthma
Current medications:
Amlodipine (Norvasc)
Metoprolol (Lopressor)
Levothyroxine (Syntrhoid)
Atorvastatin (Lipitor)
Albuterol
Advair
Daily vitamins
No known allergies
Your partner places the patie...
Source: EMS 12-Lead - Category: Cardiology Authors: Ivan Rios Tags: 12 lead ecg CHF LBBB 12-Lead ECG chest discomfort dyspnea IVAN RIOS sgarbossa's criteria STEMI Source Type: research
More News: Advair | Albuterol | Allergy | Allergy & Immunology | Asthma | Atorvastatin Calcium | Bleeding | Cardiology | Electrocardiogram | Heart | Hypertension | Hypothyroidism | Levothyroxine | Lipitor | Norvasc | Proair HFA | Respiratory Medicine | Rural Health | Skin | Sleep Disorders | Sleep Medicine | Statin Therapy | Synthroid | Toprol | Ventolin | Vitamins | Zivast