Narrative EMS Notes - Emergency Medical Services Report

Dispatch & Arrival On 1 November 2024, at 14:30, EMS was dispatched to 123 Main Street following a report of a 45-year-old male experiencing chest pain. Upon arrival at 14:45, the scene was calm with the patient seated on a chair, appearing pale and diaphoretic. Bystanders included the patient's wife and a neighbour. Initial safety assessment revealed no immediate hazards. Patient History The patient reported sudden onset of severe chest pain radiating to the left arm, beginning approximately 30 minutes prior to EMS arrival. He has a history of hypertension and hyperlipidemia, for which he takes lisinopril and atorvastatin. He is compliant with his medications and has no known allergies. The patient had a light breakfast earlier in the day. Assessment Findings Upon assessment, the patient was alert and oriented, with a Glasgow Coma Scale score of 15. Vital signs were as follows: blood pressure 160/95 mmHg, heart rate 110 bpm, respiratory rate 22 breaths per minute, and oxygen saturation 94% on room air. Pupils were equal and reactive to light. The patient reported a pain score of 8/10. Interventions & Treatment Oxygen was administered via nasal cannula at 4 L/min, and aspirin 325 mg was given orally. An IV line was established in the left antecubital fossa, and nitroglycerin 0.4 mg was administered sublingually. The patient's pain decreased to a score of 5/10 following these interventions. Transport & Monitoring Transport was initiated at 15:00 with the patient positioned semi-Fowler's on the stretcher. Continuous cardiac monitoring was maintained, and vital signs were reassessed every 5 minutes. The patient's condition remained stable en route to the hospital. Hospital Handover The patient arrived at City Hospital at 15:20 and was handed over to Nurse Jane Smith in the emergency department. The handoff was confirmed, and care was officially transferred at 15:25. The EMS report was faxed to the hospital, and all equipment was accounted for before concluding the call. Additional Notes The patient was cooperative throughout the process. The home environment was noted to be clean and safe, with no apparent risk factors contributing to the incident.