Scenario 1

You are called to a motel room where you find a 45-year-old male patient complaining of central chest pain radiating down his left arm, described as severe 10/10 pain. The patient states to you that he is not sure if it is relevant but he has taken Viagra one hour ago. The patient’s vital signs are within normal parameters for narcotic analgesia.

Scenario 2

You have been dispatched to a four-year-old female who has fallen down three stairs. She is conscious and alert with pain in the left arm. The patient’s father states she slipped down 3 stairs and did not hit her head. The patient appears to have a fractured left humerus. The patient is showing signs of significant pain and vital signs are within normal parameters for narcotic analgesia