jdemt
Forum Crew Member
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I’m looking for a better way to differentiate cardiac chest pain from non-cardiac.
At this point I’m first looking at the patient for skin color and diaphoresis.
After that I palpate their sternum to see if that elicits pain, and ask questions based on you’re typical OPQRST.
Finally I put them on the 12-lead and analyze.
Right now, my mindset is to have (as Williamson county MD says) a good 12-lead and a good story.
In other words I’m looking for a relatively rapid onset, nausea, SOB, diaphoresis, non-reproducible chest pain, not made better with rest, etc. Its a little haphazard, and I find myself giving ASA even when I’ve ruled out ACS (as far as I am able). I really want to get away from the mindset of “I’ll give aspirin just in case”.
Are there some other questions/assessments I can do to make my treatment plan more concrete?
Thanks!
At this point I’m first looking at the patient for skin color and diaphoresis.
After that I palpate their sternum to see if that elicits pain, and ask questions based on you’re typical OPQRST.
Finally I put them on the 12-lead and analyze.
Right now, my mindset is to have (as Williamson county MD says) a good 12-lead and a good story.
In other words I’m looking for a relatively rapid onset, nausea, SOB, diaphoresis, non-reproducible chest pain, not made better with rest, etc. Its a little haphazard, and I find myself giving ASA even when I’ve ruled out ACS (as far as I am able). I really want to get away from the mindset of “I’ll give aspirin just in case”.
Are there some other questions/assessments I can do to make my treatment plan more concrete?
Thanks!