The world in four patients, plus interruptions.
Who’s next? Come in.
Do you have your Health Card?
Take off your hoodie and sit down. What brings you in today?
Where exactly is the pain?
On a scale of one to ten, if ten is the worst possible pain, what number would you give the pain?
How long have you had it?
Three months?
What changed tonight?
How would you describe it? Sharp? Dull? Knife-like?
Is it constant?
Does the pain go anywhere else?
Any nausea or vomiting?
Any diarrhea?
Does the pain get worse after eating?
Last bowel movement?
Last menstrual period?
Any problems peeing? Feeling like you have to go all the time? Blood in your pee?
Any allergies?
What medications are you on?
Any medical conditions we should be aware of?
Here’s urine bottle. There are directions on how to collect a sample in the toilet.
Your blood pressure is okay.
Take this to the registration clerk over there. We’ll make up a chart, get some blood work done, and have you seen by the doctor, okay?
Yes, over there.
Hi there, who’s next? Come in.
I can’t estimate the wait time. Today is very busy. Do you want to see a physician?
Sorry.
Who’s next? Come in.
Do you have a Health Card?
Do you mind taking off your jacket so I can check your vital signs?
Thanks.
What brings you in today?
When did the chest pain start?
Does the pain go anywhere else?
What kind of pain is it?
Heavy?
On a scale of one to ten, if ten is an elephant sitting on your chest, and one is a chihuahua, what number would you give your pain?
Any nausea or vomiting?
Were you sweaty?
Any shortness of breath?
Any weakness or dizziness?
I’m going to to do an electrocardiogram now. Come over here , take off your shirt and lie down on the stretcher, okay?
This will take just a minute.
It won’t hurt.
You won’t get a shock.
Okay, I’m going to bring you in to a bed.
Can you register your husband?
Can you call the doc to Resus 2 stat please?
This is a 53-year-old patient, two hour history of retrosternal chest pain radiating into the jaw and axilla, positive associated symptoms, ST elevation in II, III and AVF. He’s a bit hypotensive. I’ve called for the doc. Okay?
Hi there, who’s next? Come in.
Nuclear medicine is on the other end of the hospital.
I’ll find a volunteer to take you there.
Thanks. You’re welcome.
Hi there, who’s next? Come in.
Do you have your health card?
Can you take off your sweater? Thanks.
What brings you in today?
What medication?
I’m sorry, the doc won’t renew your prescription for Percocets?
You’ll need to get a new prescription from your family doctor.
Sorry.
I can get you in to see the doctor if you’re having pain, and we can treat that here.
I’m pretty sure any other emerg will tell you the same.
Sorry.
I’m sorry. This is the best we can do
You have to see your GP.
Sorry.
Who’s next? Come in.
Do you have your Health Card?
What bring you in today?
I”m sorry about the wait.
Your family doctor said you would be admitted right away?
The emergency physician will have to see you first.
Do you mind watching your language, and can you please tone it down?
Please don’t swear at me.
Look, I mean it. There are small children in the waiting room.
Can you call security?
Do you mind taking her to the quiet room for a few minutes so she can calm down, and I’ll triage her when she’s settled?
Who’s next? Come on in.
Do you have your health card?
.
