Introduction of an accelerated diagnostic protocol in the assessment of emergency department patients with possible acute coronary syndrome: The Nambour Short Low-Intermediate Chest pain project

2013 ◽  
Vol 25 (4) ◽  
pp. 340-344 ◽  
Author(s):  
Terry George ◽  
Sarah Ashover ◽  
Louise Cullen ◽  
Peter Larsen ◽  
Jason Gibson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Coronary Syndrome ◽  
Diagnostic Protocol ◽  
Emergency Department Patients

Initial Appraisal of Acute Coronary Syndromes

2005 ◽  
Vol 18 (5) ◽  
pp. 377-393
Author(s):  
Roshanak Aazami
Keyword(s):  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Risk Groups ◽  
The United States ◽  
Rapid Identification ◽  
Emergency Department Care ◽  
Coronary Syndrome ◽  
Emergency Department Patients ◽  
Pharmacologic Treatments

Acute coronary syndrome remains a daunting health care problem in the United States. One third of emergency department patients with chest pain will eventually have a diagnosis of acute coronary syndrome. During the past decade, there have been many advances in the treatment of acute coronary syndrome as well as a widespread movement in emergency medicine to streamline the process of its treatment. Goals of emergency department care include rapid identification of patients with acute myocardial infarction, exclusion of causes of nonischemic chest pain, stratification of patients with acute coronary ischemia into low-risk and high-risk groups, and initiation of pharmacologic treatments. These goals will be discussed in this review, with particular emphasis on pharmacologic treatments.

The ethical dilemma of emergency department patients with low-risk chest pain

2021 ◽  
pp. emermed-2020-209900
Author(s):  
Nella W Hendley ◽  
John Moskop ◽  
Nicklaus P Ashburn ◽  
SA Mahler ◽  
Jason P Stopyra
Keyword(s):  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Practice Guidelines ◽  
Ethical Dilemma ◽  
Low Risk ◽  
Best Interests ◽  
Ethical Principles ◽  
Coronary Syndrome ◽  
Emergency Department Patients

Millions of patients present to US EDs each year with symptoms concerning for acute coronary syndrome (ACS), but fewer than 10% are ultimately diagnosed with ACS. Well-tested and externally validated accelerated diagnostic protocols were developed to aid providers in risk stratifying patients with possible ACS and have become central components of current ED practice guidelines. Nevertheless, the fear of missing ACS continues to be a strong motivator for ED providers to pursue further testing for their patients. An ethical dilemma arises when the provider must balance the risk of ACS if the patient is discharged compared with the potential harms caused by a cardiac workup. Providers should be familiar with the ethical principles relevant to this dilemma in order to determine what is in the best interests of the patient.

Admission glycaemia and its association with acute coronary syndrome in Emergency Department patients with chest pain

2014 ◽  
Vol 32 (8) ◽  
pp. 608-612 ◽  
Author(s):  
Logan S Gardner ◽  
Sallyanne Nguyen-Pham ◽  
Jaimi H Greenslade ◽  
William Parsonage ◽  
Michael D'Emden ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Coronary Syndrome ◽  
Emergency Department Patients
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