What is typically assessed first when a patient presents with chest pain?

When a patient presents with chest pain, the first priority in assessment typically focuses on airway patency. Ensuring that the airway is clear and unobstructed is crucial because compromised airway can lead to inadequate oxygenation and ventilation, which may quickly become life-threatening. In situations involving chest pain, there may be underlying issues such as respiratory distress or potential cardiac events that could affect the patient's ability to maintain a clear airway.

While the assessment of heart rhythm, blood pressure, and oxygen saturation are also important components of the initial evaluation, they come after confirming that the airway is clear. A patient with chest pain may be in distress, and their ability to breathe adequately must be addressed first. If the airway is not assessed and maintained, interventions regarding cardiac function or blood pressure monitoring may not be effective if the patient is unable to oxygenate properly. Hence, the emphasis on airway patency as the initial assessment step aligns with established protocols for managing patients in critical situations.