Tuesday, 10 August 2010  58 year old male CC: Chest discomfort
Here's another case from a faithful reader who wishes to remain
anonymous.  No, these are not all from the same anonymous
reader! :)  EMS responds to a 58 year old male complaining of
chest discomfort.  Onset: 30 min ago while mopping hot tar on
roof Provoke: Nothing makes the pain better or worse Quality:
Dull pressure Radiate: The discomfort does not radiate Severity:
4/10 Time: Persistent with no previous episodes  The patient is
found supine on the ground appearing acutely ill and
diaphoretic.  The patient was moved to air conditioned room,
skin dried.  Pt denies SOB, allergies, meds, history.  GCS: 15
Vital signs:  Pulse: 66 BP: 116/78 RR: 16 SpO2: 99 on RA  BGL:
92  Breath sounds: clear bilaterally  12-lead ECG was captured.
Crew initiates CP protocol to include O2, ASA, NTG.  The patient
declines intravenous access.  Vital signs remained unchanged.
The patient stated that he felt better and did not want to be
transported to the emergenc