In obtaining a patient's history of present illness, avoid asking leading questions. Instead, ask open-ended questions such as:
A. Your chest pain is crushing isn't it?
B. How would you describe your chest pain?
C. Does your arm ache too?
D. Is your best pain sharp or dull?
Answer: B. How would you describe your chest pain?
When conduction a history of the chief complaint and other associated symptoms, such as chest discomfort and shortness of breath, use the OPQRRST mnemonic to obtain the information and, whenever possible, use open-ended questions to get better quality of feedback. Closed-ended questions are those that can be answered in just one word, and typically provide a lower volume of information to the EMT.
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