Recapping pearls from our weekly conference. This week, we discussed pearls on chest pain.
Core EM - Emergency Medicine Podcast Episode 8.0 – Chest Pain
Aug 10, 2015
Join a riveting discussion on the complexities of evaluating chest pain. Learn how to differentiate acute coronary syndrome from other potential issues. The conversation delves into the HEART Pathway for managing low-risk patients and emphasizes innovative management strategies. Additionally, there’s an intriguing look at recent studies on alternative treatments for acute sciatic pain. Perfect for anyone interested in emergency medicine!
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Key History Signs for ACS
- Look for exertional chest pain, radiation (especially to right arm), vomiting, and diaphoresis as specific signs of ACS.
- Remember these signs have low sensitivity, so absence does not rule out ACS, especially in older adults and women who may present atypically.
Oxygen and Nitro Use in ACS
- Give supplemental oxygen only if saturation is below 93-95% to avoid harm.
- Use nitroglycerin cautiously, especially in hypotensive patients or those with inferior STEMI who may have RV infarction.
Nitro Mistakes and Recovery Anecdote
- Faculty recalled times when nitroglycerin was mistakenly given to hypotensive patients with inferior MI causing severe hypotension.
- They noted recovery usually occurs as the nitro effect wears off, but caution is preferable.
