EMT Basic Scenario – Cardiovascular Emergencies – Scenario 1
Dispatch: You are called to the construction site for a man with chest pain. You arrive to find a 64-year-
old man sitting on the tailgate of a truck complaining of severe pain in his chest.
Takes, or verbalizes, body substance isolation
precautions
Scene is Safe
Determines the mechanism of injury/nature of
illness
Chest Pains
Determines the number of patients
1
Requests additional help if necessary
Yes
Considers stabilization of spine
None
Verbalizes general impression of the patient
64-year-old man in a chair holding his chest.
Complains of Chest pain, nausea
Determines responsiveness/level of
consciousness
Responsive
Determines chief complaint/apparent life
threats
Chest Pain
Assesses airway and breathing
Indicates appropriate oxygen therapy
Assures adequate ventilation
Airway is Open
16 breaths/min
Symmetrical rise and fall of the chest
(Oxygen via NRB mask at 15 L/min)
Assesses circulation
Assesses/controls major bleeding
Assesses pulse
Assesses skin (color, temperature, and
condition)
Bleeding – none
Pulse—Tachycardia and Thready
Pale, Cool, and Moist
Identifies priority patients/makes transport
decisions
High Priority
OPQRST
O—Shoveling dirt
P—Rest makes it better
Q—Crushing
R—None
S—Rated 3 on a scale of 1–10 with 10 being the worst
T—10 minutes
SAMPLE history
A—None
M—Nitro (Patient states they took 2 nitros prior to
EMS arrival – 10 mins)
P—Angina, heart attack a year ago
L— Eggs, bacon, toast, and coffee 2 hours ago
E— Shoveling dirt
