How To Release Chest Pain

How To Release Chest Pain..

Any pain in the chest requires medical advice. Nevertheless, it is important to know the chest pains that require urgent treatment. They are most often due to heart or vascular disease.

THE SIGNS THAT SHOULD ALERT YOU TO BREAST PAIN

When faced with pain in the chest, certain symptoms should alert you:

Pain :

is brutal, intense and "squeezes" the chest,

lasts more than five minutes and does not disappear at rest,

do not give up spontaneously or after taking trinitrine (if the person is being treated for angina),

extends to the jaw, arms, back, neck and abdomen,

is more lively when breathing.

The person :

is short of breath, pale.

has sweating, nausea, anxiety, dizziness, unusual weakness.

has an irregular or rapid heartbeat.

has a disturbance in consciousness or loses consciousness.

When several of these signs are associated, it is a life-threatening and often cardiovascular emergency. It could be :

a myocardial infarction;

pulmonary embolism;

much more rarely, a dissection of the aorta (localized cracking of the wall of the aorta) or a severe form of pericarditis.

Do not wait because the support is urgent.

Call the emergency medical number by dialing 15 or 112. Over the phone, the regulator asks questions to assess the person's medical condition. In the absence of elements of seriousness, the regulator advises to consult the doctor on duty or the attending physician.

Communication with the regulating doctor

Here are a few tips :

speak calmly and clearly;

give your phone number;

give your name and that of the patient;

indicate the place and the exact address, as well as the floor and the possible access code;

Describe as precisely as possible the signs that alerted you, the time of onset, the mode of installation of the symptoms and their evolution (disappearance, stabilization, aggravation);

do not hang up until the other party asks you to do so. The regulating doctor may need other information or may give you instructions, for example on what to do while waiting for the mobile medical team. Center 15 will also be responsible for informing the reception service of the hospital if hospitalization is planned.

OUTSIDE EMERGENCY SITUATIONS, ANALYZE YOUR CHEST PAIN AND CONSULT YOUR DOCTOR

Take stock of your pain, you will help your doctor to establish the cause of the chest pain.

Note:

what the pain reminds you of: a feeling of tightness, burning, pinching, cramping;

what triggers or has triggered the pain: trauma, strain, certain positions, breathing, no specific cause;

when pain occurs: the schedule is fixed, it occurs at night or during the day, it appears when you move or breathe;

when it first appeared and how often it returns;

how long the pain lasts;

where you feel it: in front of the thorax, to the side, back and to where you feel it: the upper limbs, back, jaw ...;

what calms the pain: taking medication (analgesic, trinitrine ...), certain positions, rest, a meal;

the abnormalities that accompany this pain: shortness of breath, fever, chills, cough, anxiety, rash, fatigue, lack of appetite ...

Consult your doctor.

The examination will allow him to find the origin of this pain. He may be required to prescribe additional examinations to refine his diagnosis.

DIRECTED NAMNESIS AND CLINICAL EXAMINATION

Telephone call pickup

The history begins with a list of questions to clarify the characteristics of TD:

O Where is the DT located?

P Induce, reproduce, relieve: what activity causes, reproduces, worsens or relieves TD?

Q When did DT start?

R iRradiation: Does TD radiate to the shoulders, arms, jaw, back, or epigastrium?

S Associated symptoms such as sweating, dyspnea, nausea, vomiting, malaise or altered state of consciousness?

T Type: pressure, bar, burn, stab?

U Is there a known cardiovascular history or risk factor?

A telephone history suspected of an urgent cause of DT, in particular SCA, must lead to the immediate call of a medical ambulance.

Pending the arrival of help, the following instructions will be given:

swallow a 500 mg aspirin tablet (reduces mortality from acute infarction by 23%)

absolute rest

ask relatives to open the access doors to the home.

History

At home, the doctor will complete the history by looking for:

alarm symptoms suggestive of an urgent cause requiring prompt transfer to hospital:

syncope

profuse sweating

nausea or vomiting

dyspnea

altered state of consciousness

neurological disorders

the notion of taking cocaine in the 4 days preceding TD and / or a vascular history (coronary, cerebral, arterial insufficiency of the lower limbs)

the patient's risk profile (Table 1).

Table 1

Main risk factors for urgent causes of TD

Syndrome Family history (infarction <50 years if ♂ and acute coronary <60 years if ♀, in a relative of the 1st degree), diabetes mellitus, hypertension, tobacco, hypercholesterolemia, age, cocaine Embolism History of deep venous or pulmonary thrombosis of pulmonary embolism, known thrombophilia, recent operation (<3 months, lasting> 30 min), trauma <3 months, prolonged immobilization (> 3 days), sitting travel> 6 hours, pregnancy / postpartum, neoplasia , hormonal contraception + tobacco Dissection High blood pressure, tobacco, arteriosclerosis, aortic aortic disease (congenital or inflammatory), pregnancy, Marfan syndrome Pneumothorax History of pneumothorax, pulmonary disease (obstructive, neoplastic, infectious), elongated morphology, mechanism of Valsalva, tobacco Pericarditis History of pericarditis, recent heart attack, recent cardiac surgery, neoplasia, infection (tuberculous, viral), autoimmune disease, drugs (procainamide, hy dralazine, isoniazid), uremia, mediastinal radiotherapy