Ambulance Handover in ED triage

1. Ambulance Crew Information: CAD 12345 PIN Number: 67890 CREW 12 2. Chief Complaint: Severe chest pain 3. History of Presenting Complaint: The patient, a 58-year-old male, began experiencing severe chest pain approximately 2 hours ago. The pain is described as a crushing sensation, radiating to the left arm and jaw. The patient reports shortness of breath and nausea accompanying the pain. 4. Associated Symptoms: Shortness of breath, nausea, diaphoresis 5. Past Medical History: Hypertension, hyperlipidemia 6. Medication History: Current Medications: Lisinopril, Atorvastatin Allergies: Penicillin 7. Prehospital Observations: Temperature: 37.2°C Heart Rate: 110 bpm Respiratory Rate: 22 breaths/min Blood Pressure: 150/90 mmHg Oxygen Saturation: 92% Blood Glucose: 120 mg/dL 8. Examination Findings: The patient appears diaphoretic and in distress. There is tenderness upon palpation of the chest. 9. Interventions Provided: Oxygen therapy, aspirin administration, nitroglycerin sublingual 10. Patient Response: The patient reported slight relief in chest pain following nitroglycerin administration. 11. Transport Details: Transport Time: 30 minutes Transport Mode: Ambulance 12. Additional Information: The patient has a family history of coronary artery disease.