Question

Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport...

Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED, what priority interventions you would initiate? What information would you require to definitively determine what was causing Mr. Bush’s chest pain?

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Answer #1

The sternum is located near the heart and the sternum pain (breastbone pain) or discomfort in the chest area, where cartilage and sternum connecting it to the ribs is mainly associated with heart problems, inflammation, breastbone injury or other diseases which require prompt medical attention.

The priority interventions which would be initiate is to check for blood pressure, To take an ECG to rule out for heart. Blood test for enzyme assays has to be performed. A chest X ray to rule out problems in lungs. Finally a CT scan to rule out option of any blockage in the arteries has to be performed.

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