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Chest Pain in the Emergency Department: Diagnostic Pathways

…symptom. It includes pain, pressure, tightness, heaviness, burning, or discomfort in the chest and may extend to the arms, shoulders, neck, jaw, upper back, abdomen…

Clinical application of ECG in chest pain & acute myocardial infarction

…back pain and selected cases of upper abdominal pain. An ECG recording costs approximately $10 (10€) and may reduce morbidity and mortality substantially in patients…

Differential Diagnosis of Chest Pain: A Clinical Overview

…with ischemic heart disease is broader than chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest, arms, neck, jaw, upper back…

Approach to patients with chest pain: differential diagnoses, management & ECG

…The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed…

Pleural aspiration and chest drain

…shows the most fluid, usually in the scapular line one to two intercostal spaces below the upper border of the fluid, but never below the…

Ankle-brachial index (ABI)

…Arm pressure. Place the cuff on the upper arm. Locate the brachial signal in the antecubital fossa with the Doppler probe at 45–60° to…

Reduction of dislocations

…The upper arm is held adducted against the trunk and the elbow is flexed to 90 degrees. The forearm is moved very slowly outwards in…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…in frequency, severity, or exercise threshold. Potential anginal equivalents include: Dyspnoea on exertion. Fatigue. Dizziness during exertion. Discomfort in the arm, jaw, neck, or upper…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…ECG, and normal initial troponin may be observed in a chest pain unit or another non intensive care setting while serial testing is completed. Diagnostic…

Acute Limb Ischaemia: Recognition and Urgent Management

…pathophysiology Acute limb ischaemia (ALI) is an abrupt reduction in arterial perfusion of an upper or lower limb that causes tissue metabolic requirements to exceed…

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