This case involves a 49-year-old female patient with a history of high blood pressure who was brought to the emergency room with unbearable chest and abdominal pain. The patient’s blood pressure was read as extremely elevated and the physician assistant decided to administer several labs in the emergency room triage. When the test results came back, the physician assistant concluded that there was no emergent medical condition. The patient was then left alone for 3 hours without further evaluation or treatment before she was found pulseless. The patient required intubation and suffered from severe tracheal stenosis following her recovery. An expert physician’s assistant was sought to discuss the standards for triaging patients in the emergency room.