Occam Health

Where is the pain?

Entire chestCentral chestSternumLeft chestRight chestOther

Is the pain diffused or localised?

Diffuse (No clear boundary)Localised (Specific area)

How would you describe the pain?

Severe & dull/ gripping & heavySharp (worse on coughing, breathing & sneezing)BurningTender & soreTearingOther

Did the pain come on suddenly or slowly?

SuddenSlow

Is the pain constant or intermittent?

ConstantIntermittent

Does the pain go anywhere else?

NoJawLeft armRight armBackOther sites

Have you ever been diagnosed with any significant heart disease?

YesNo

Feel for your radial or carotid pulse using your index and middle fingers. Take your heart rate and rhythm by keeping count on the pulse for 15 seconds and multiplying the amount by 4.

>100 beats per minute (25 beats per 15 seconds)60-100 beats per minute (15-24 beats per 15 seconds)<60 beats per minute (<15 beats per 15 seconds)Irregular heart rhythm

Did you vomit continuously in the past 24 hours?

NauseousIntermittentFood/fluidBright red bloodDark red bloodDark green bileOtherNo

Did you suffer from any physical injury recently?

YesNo