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Please help me to answer this following

Please help me to answer this following questions based on the situation described and provide reference if possible. Case Study: One afternoon you are on duty at the emergency department, then a patient comes who is escorted by the family. The patient is a man, aged 45 years. When you do an anamnesis the patient says left chest pain radiating to the shoulder, breathing feels short. The patient looks in pain while holding his left chest, the measurement results found BP: 170/110 mmHg, Pulse 112/min, ECG results showed ST elevation. 1. How to do a Triage? After you do the triage then you do the documentation. Documentation of triage assessment is clear, concise and supports the patient’s severity level. The purpose of documentation is to support triage decisions, communicate important sequential information to health care workers and as medically legal requirements. 2. What needs to be documented? Thankyou,

 
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