Thorax and Lungs and Cardiovascular System

You are working in the Emergency Room on the 7:00am-7:00pm shift. Upon arrival, a 27 year-old African-American male walked up to you holding his chest, and states: “I can’t breathe, help me”. His diaphoretic, skin is warm and moist. Respiratory rate is 28 even and slightly labored, heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds have bilateral wheezes. His last meal was breakfast 30 minutes ago at McDonalds

  • Based on his presenting signs, what other questions would you ellicit?
  • How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
  • What would you assess?
  • What could be the problem?
  • Include at least two references