EMS Run Report - DACHARTE Documentation Format

D = Dispatch The dispatch was received at 14:30 for a 45-year-old male experiencing chest pain at a local gym. The responding unit, Medic 5, was dispatched with a priority 1 response. The location of the call was 123 Fitness Lane, and the nature of the call was a suspected cardiac event. A = Arrival Upon arrival at 14:40, the scene was safe with no visible hazards. The patient was found seated on a bench, appearing diaphoretic and clutching his chest. He was conscious but in distress, requiring assistance to stand. C = Chief Complaint The patient complained of severe chest pain radiating to his left arm, accompanied by shortness of breath and nausea. H = History The patient reported a history of hypertension and hyperlipidemia. He is currently on Lisinopril and Atorvastatin. No known drug allergies. He mentioned a similar episode of chest pain two years ago, which resolved without intervention. A = Assessment Primary assessment revealed the patient was alert and oriented. Vital signs: BP 160/95, HR 110, RR 24, SpO2 92% on room air. ECG showed ST elevation in leads II, III, and aVF. Lung sounds were clear bilaterally. R = Treatment on Scene Oxygen was administered at 4 L/min via nasal cannula. Aspirin 325 mg was given orally, and Nitroglycerin 0.4 mg sublingually, with partial relief of chest pain. IV access was established, and 0.9% saline was initiated. T = Transport The patient was transported to City Hospital with a priority 1 status. En route, the patient received continuous cardiac monitoring and a second dose of Nitroglycerin. Upon arrival, care was handed over to the emergency department staff, with a full report given to Dr. Smith. E = Exceptions There were no complications or deviations from protocol during the response and transport.