In this
first month’s topic we at #FOAMclub are going to look at the commonest
presentation to emergency departments across the UK: non-traumatic chest pain.
We will
look at blogs from the Royal College of Emergency Medicine aimed at new
clinicians in the ED, tips and tricks for decision making in the chest pain
patients, some ECG recognition and of course the unusual causes of chest pain.
ECG of
the week will be uploaded after the blog, all comments are welcome
#FOAMclub
Basics
A brief introduction for new junior doctors in ED about how
to differentiate between various chest pain pathologies. https://www.rcemlearning.co.uk/foamed/induction-chest-pain/
Hardcore
Podcast
http://stemlynsblog.org/induction-chest-pain/
(http://stemlynspodcast.org )
There are many different risk stratification scores out there, GRACE, TIMI, ACS, HEART, MACS. Each looks at the risk of MACE (major adverse cardiac event) at different time intervals. Make sure you know which scoring system your system/department uses.
ReplyDeleteMACE is ST elevation myocardial infarction and death, it is commonly measured as an outcome in clinical trials at 3 months, 6 months, 12 months or sometimes even 30 days after admission.
Each risk stratification score gives the user a risk score, and advises on which patients to admit, investigate further or even discharge.
Here is a helpful poster illustrating the differentials for chest pain and the urgency of each. Information is sourced from RCEM learning.
ReplyDeletehttp://www.strata5.co.uk/wp-content/uploads/2018/03/Spectrum_of_pathology_infographic-01-724x1024.jpg