Читать книгу Clinical Cases in Paramedicine - Группа авторов - Страница 269

Nil evidence of trauma on head‐to‐toe assessment, patient denies trauma to chest. He is able to take a deep breath, but reports it increases the pain in his chest when he does so.

 O (onset): patient states pain suddenly increased 4 hours prior to calling ambulance and has been gradually increasing in severity.

 P (provocation): Pain is worse upon laying supine/flat, but is relieved by sitting upright.

 Q (quality): The pain is described as a sharp, burning and at times stabbing pain that is isolated to behind the sternum.

 R (relieving factors): Pain is not relieved by anything, but is improved by sitting forward/upright.

 S (severity): Pain is described as an 8/10 severe pain.

 T (time): Patient reports sudden sharp pain developed 2 weeks ago, but he didn’t think it was enough to seek medical attention. Approximately 4 hours ago pain suddenly increased to severe.