Chest pain due to trauma should be directed to which protocol?

• A. Protocol 21
• B. Protocol 26
• C. Protocol 30
• D. Protocol 32

Answer: (C)

When chest pain is caused by trauma, the situation is treated as a trauma-related chest injury, not a typical medical chest-pain incident. The dispatcher must focus on the possibility of life threats from blunt or penetrating injury, assess airway, breathing, and circulation, and arrange rapid transport with trauma prioritization. Protocol 30 is the designated pathway for chest pain with a traumatic mechanism, guiding you to gather details about the mechanism, signs of chest injury, and breathing status, while directing immediate actions to support airway and breathing and to prepare for swift transport to a trauma-capable facility. The other protocols are geared toward non-traumatic chest pain or other medical emergencies and wouldn’t provide the trauma-specific questions and actions needed for chest injuries from trauma.