Chest pain resident survival guide

WikiDoc Resources for Chest pain resident survival guide
Articles
Most recent articles on Chest pain resident survival guide Most cited articles on Chest pain resident survival guide Review articles on Chest pain resident survival guide Articles on Chest pain resident survival guide in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Chest pain resident survival guide Images of Chest pain resident survival guide Photos of Chest pain resident survival guide Podcasts & MP3s on Chest pain resident survival guide Videos on Chest pain resident survival guide
Evidence Based Medicine
Cochrane Collaboration on Chest pain resident survival guide Bandolier on Chest pain resident survival guide TRIP on Chest pain resident survival guide
Clinical Trials
Ongoing Trials on Chest pain resident survival guide at Clinical Trials.gov Trial results on Chest pain resident survival guide Clinical Trials on Chest pain resident survival guide at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Chest pain resident survival guide NICE Guidance on Chest pain resident survival guide NHS PRODIGY Guidance FDA on Chest pain resident survival guide CDC on Chest pain resident survival guide
Books
Books on Chest pain resident survival guide
News
Chest pain resident survival guide in the news Be alerted to news on Chest pain resident survival guide News trends on Chest pain resident survival guide
Commentary
Blogs on Chest pain resident survival guide
Definitions
Definitions of Chest pain resident survival guide
Patient Resources / Community
Patient resources on Chest pain resident survival guide Discussion groups on Chest pain resident survival guide Patient Handouts on Chest pain resident survival guide Directions to Hospitals Treating Chest pain resident survival guide Risk calculators and risk factors for Chest pain resident survival guide
Healthcare Provider Resources
Symptoms of Chest pain resident survival guide Causes & Risk Factors for Chest pain resident survival guide Diagnostic studies for Chest pain resident survival guide Treatment of Chest pain resident survival guide
Continuing Medical Education (CME)
CME Programs on Chest pain resident survival guide
International
Chest pain resident survival guide en Espanol Chest pain resident survival guide en Francais
Business
Chest pain resident survival guide in the Marketplace Patents on Chest pain resident survival guide
Experimental / Informatics
List of terms related to Chest pain resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Definition

Chest pain is discomfort or pain that is felt anywhere along the front of the body between the neck and the upper abdomen.

Causes

Immediate Life Threatening Causes

Immediate life threatening causes are conditions which result in immediate death or disability if left untreated.

• Aortic dissection

• Myocardial infarction
• Pericardial tamponade
• Pneumothorax
• Pulmonary embolism
• Unstable angina

Other Common Causes

• Biliary colic
• Costochondritis
• Cocaine induced coronary vasospasm
• Esophageal spasm
• GERD
• Myocardial infarction
• Panic attacks
• Pneumonia
• Stable angina

Management

Please find below an algorithm that summarizes the approach to chest pain.

Check vital signs Stabilize the patient Order an EKG Obtain a concise history and physical exam

Assess EKG

EKG consistent with ACS

EKG not consistent with ACS

Order a CXR

STEMI Revascularization

NSTEMI Risk stratification

pneumothorax

Aortic dissection

No significant findings on CXR

Control BP Obtain a CT scan Emergent surgery consult

Assess the pretest probability for pulmonary embolism

References

Template:WikiDoc Sources