Abstract

A 35-year-old female contractor presented at the entrance of a major military combat support hospital in Iraq. She was found lying in the front seat of a pick-up truck, alert, complaining of nausea, headache, and pain between her shoulder blades. The patient denied any chest pain at the time of presentation but stated that the pain in her back had begun several days before. Medical history was negative except for a 10-pack-per-year smoking history. She had an administrative job, lived an active lifestyle, and was taking no medications at the time of presentation. Initial physical impression revealed an anxious-appearing pale woman who was diaphoretic. The triage decision was to bring the patient into the emergency treatment area for monitoring and further evaluation. John S. Kerns is Captain, U.S. Army Nurse Corp, 10th Combat Support Hospital, Baghdad, Iraq.

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