Sunday, December 15, 2013

Chest Pain : Medical Triage : Online Medical Help

Medical Triage : Online Medical Help

Chest Pain

Life – threatening Causes Of Chest Pain
Acute Myocardial Infarction
Thoracic Aortic Aneurysm (dissecting, rupture , leaking )
Pulmonary Embolism
Tension Pneumothorax

Serious Causes Of Chest Pain

Pericarditis
Pneumothorax
Perforated Esophagus
Unstable angina

Subjective

Onset of Chest Pain
Any history of trauma
Any history of cardiac or lung disease
Associated with cough , breathlessness ,syncope , palpitation  
          
Objective

Patient with angina or Myocardial infarcts may appear cold & clammy , tachycardia

Assessment

Critical
Sudden onset of chest pain
Angina chest pain

Semi critical
 Complain chest pain but normal ecg
 Known case of diabetes mellitus
 Age factor < 40 years

Non critical
 Age < 20 years
 Complains chest pain but resolved
 For check up

PLAN
Do ECG
Graph to be seen by Medical officer
Any ECG changes to Resus



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