[Expert Solution]: James Wilson, a 32 year old indigenous…

James Wilson, a 32 year old indigenous man, arrives at the Emergency Department complaining of the abrupt onset of chest pain about 3 hours ago. James had eaten pizza in his apartment. About an hour after eating the pizza, while he was at rest and watching television, chest pain, diaphoresis, dyspnea, and nausea developed. He rated the pain at 7 on a scale of 0 to 10 . He attempted to induce vomiting and took calcium carbonate tablets, but his condition did not improve. After 2 hours of constant pain, he presented to the emergency department of this hospital. James has no medical history and took no medications. The patient is allergic to penicillin (unknown reaction). He lives with his girlfriend, who had recently had streptococcal pharyngitis. He has been under a great deal of stress because of a new job as a sales manager, a move to a new apartment, and the recent death of a family pet. He consumes a six-pack of beer daily. He has used cocaine (most recently 3 months earlier) but does not report using other illicit substances. On examination, James’s temperature is 36.3°C, his heart rate is 83 beats per minute, his blood pressure is 158/81 mm Hg, his respiratory rate is 28 breaths per minute, and his oxygen saturation is 100% on room air. His body-mass index is 26.9. He appears to be anxious and uncomfortable and has diaphoresis. There is no evidence of a heart murmur or rub. When James is asked to indicate the location of the pain, he points to the sub-xiphoid area; there is some tenderness in that area on palpation. The stool was negative for blood. The remainder of the examination was normal. Question 1: Based on the assessment, what CEDIS category would you assign James (1) and what CTAS acuity level? (1) Question 2: Question 2: Please indicate three key assessments that should have been captured in James’s initial assessment (3)