EMS is called to a hotel for a 65 year old female complaining of chest pain.
On arrival, the patient is found sitting on the edge of the bed in her hotel room. She is alert and oriented to person, place, and time.
Her skin is pink, warm, and dry.
Onset: 30 minutes ago while getting ready for bed.
Provoke: Nothing makes the pain better or worse.
Quality: Patient states the pain is “like a vice”.
Radiate: Pain radiates to the neck and left arm.
Severity: Patient gives the pain a 9/10.
Time: No previous similar episodes.
Past medical history: Thyroid disease and thyroid removal. Recent checkup at the doctor’s office was unremarkable.
The patient states that she thinks today’s problem might be related to her thyroid.
SpO2: 99 on RA
The cardiac monitor is attached.