Sample ALS Case Study Worksheet

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A) Medic 15 and Lafayette Engine 25 were dispatched to Roper at 1507 Broomtown Rd. for a person who is experiencing chest pain and is deaf and unable to speak.

C) Chest discomfort with elevated blood pressure and nausea.

H) According to the medical staff at the doctor's office, the patient is reportedly experiencing substernal chest pain with elevated blood pressure and feeling nauseated. The staff was using an iPad with an individual trying to communicate with the patient through sign language, but without very much success.

The staff administered 162 mg of Aspirin by mouth prior to our arrival and 0.4 mg of Nitroglycerin tablets x2 sublingually without any relief.

A) ALS assessment: The patient is a 58-year-old male who is conscious, alert, and oriented with an open and clear airway. That was found on an exam table in the doctor's office, attempting to sign with an individual concerning his treatment.

Neurological: The patient has no obvious neurological deficits.

HEENT: No obvious injuries or deformities to his head, eyes, ears, nose, or throat. His pupils are equal and reactive; symmetrical facial …show more content…
A third dose of Nitroglycerin was attempted, but the patient blocked it with his hands. Through hand written notes the patient advised that he had drunk very little water and had very little urine out put so a 1000-cc bag of Lactated Ringers was started and approximately 500 cc was administered, which the patient wrote made him feel better. Upon arrival at the ER, the patient's pain level was a 0 and nausea had ceased as well. Memorial was advised via radio report of the need for an individual that could sign prior to our arrival at the

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