You are dispatched to a person who is reporting chest pain and shortness of breath. you arrive to find a conscious 58-yearold woman who is sitting up and reporting severe chest pain and shortness of breath. she is very anxious and tells you she feels like she is going to die. physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. her breathing is labored, with a respiratory rate of 28 breaths/ min. her spo2 is 90%. lung sounds show crackles in all fields. blood pressure is 92/60 mm hg. what is your differential diagnosis of this patient?
- hypovolemic shock
- septic shock
- cardiogenic shock
- neurogenic shock

The answer is Cardiogenic shock.

Explanation:

This is a 58-year-old patient, aware that she has acute chest pain and shortness of breath. She is very anxious and says she will die. The physical examination is cold, pale, sweaty and with a weak, rapid and irregular pulse. SOP: 90% .92 / 60. Crepites in both lung fields. It is a cardiogenic shock. Urgent handling.

when in a crucial situation, after calling 911, the correct posture for delivering effective compression is the proper hand placement.

first, place two fingers at the sternum, then put the heel of your other hand next to the fingers and place hand on top of the other. lock your elbows by using your body’s weight and compress the victim’s chest with a depth of 2 inches.

moreover, do 15 compression and 2 breaths, this process must be done four times until there is a pulse or a arrive.