IMISTAMBO

I - Identification: John Smith, 45-year-old male. M - Medical Complaint: Chest pain, onset approximately 30 minutes prior to arrival. I - Injuries/Information: No obvious injuries. S - Signs: - Response: Alert and oriented. - Airway: "Patent." - Breathing: Patient is breathing at a rate of 24 breaths per minute, with slightly labored effort. Auscultation reveals clear lung sounds bilaterally. - Circulation: Heart rate is 110 bpm, blood pressure 160/90 mmHg. Skin is pale and diaphoretic. Capillary refill is 3 seconds. - Disability: GCS 15. Blood glucose level is 110 mg/dL. Pain score 8/10. T - Treatment: Administered 324mg Aspirin PO. Placed on 12-lead ECG. IV access established in left antecubital fossa. Oxygen administered via nasal cannula at 4L/min. A - Allergies: Patient reports no known allergies. M - Medications: Patient reports taking Lisinopril 20mg daily for hypertension. B - Background: Patient has a history of hypertension. Denies any recent illnesses or hospitalisations. Smokes one pack of cigarettes per day. O - Other: Contacted receiving hospital and provided patient report. Patient is requesting pain relief.