Chest pain
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Triage Assessment for Chest Pain - Brenda's Case
Introduction
Hi, I'm Mark, one of the triage nurses today. Could you please confirm your name and date of birth?
Brenda King, 14th June 1975.
Understanding Triage
Triage is a quick assessment to prioritise your care and ensure you're seen by the right healthcare professional at the right time.
Assessment of Symptoms
Brenda: Yes, just the left side. It feels like someone has sat on my chest, this heaviness.
Mark: How long have you had this pain?
Brenda: Started this morning suddenly around 10 o'clock, feels like an elephant on my chest.
Mark: Any other symptoms like sweating, nausea?
Brenda: Yes, clammy, sweating, bit nauseous. No vomiting.
Medical History
Mark: Any allergies or current medications?
Brenda: No allergies, no current medications.
Mark: Previous medical problems?
Brenda: High cholesterol, but managing it.
Plan and Next Steps
Mark: We need to get you to A&E quickly for a heart tracing due to your symptoms and family history. Is that okay?
Brenda: Yes, my family has heart problems, hope it's not that.
Mark: We'll arrange an ECG and likely take blood for further assessment.
Conclusion
Mark: I'll call for a wheelchair to take you to triage one for an ECG. They're here now to take you.
Brenda: Thank you so much.
Mark: You're welcome. Follow the porter, they'll take you straight to A&E.