Air Medical Journal
Volume 26, Issue 3 , Pages 122-124 , May 2007

A chest pain patient refuses transport: conclusion

  • David W. Ross, DO, FACEP

      Affiliations

    • David Ross, DO, FACEP, is the current medical director of numerous EMS agencies in the Colorado Springs area and an emergency physician at Penrose Hospital.
    • ,
  • Carol Wichman, BSN, MSN

      Affiliations

    • Carol Wichman, BSN, MSN, is a former flight nurse at Flight for Life Colorado in Colorado Springs.

References 

  1. Khan IA , Nair CK . Clinical, diagnostic, and management perspectives of acute aortic dissection . Chest . 2002;122:311–328
  2. Nienbaber CA , Eagle KA . Aortic dissection: new frontiers in diagnosis and management. Part 1: From etiology to diagnostic strategies . Circulation . 2003;108:628–635
  3. Nienbaber CA , Eagle KA . Aortic dissection: new frontiers in diagnosis and management. Part II: Therapeutic management and followup . Circulation . 2003;108:772–778

 A flight crew encountered an apparently wealthy, nationally known 58-year-old man at his home who had experienced chest, back, and right arm pain after sexual intercourse. The only significant medical history consisted of hypertension. The blood pressure was 160/98 mmHg, pulse rate 90 beats/min, and respirations 18 breaths/min. The initial physical assessment appeared to be normal, except for the moderate odor of alcohol on the patient's breath. The symptoms had nearly completely resolved by the time the crew had arrived at the home. Therefore, the patient decided to refuse any transport to the hospital, despite the vigorous objections of his girlfriend. The crew carefully considered the situation.

PII: S1067-991X(07)00022-3

doi: 10.1016/j.amj.2007.02.003

Air Medical Journal
Volume 26, Issue 3 , Pages 122-124 , May 2007

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