Chest pain observation units

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What future for chest pain observation units?

Patients with new or worsening chest pain suggesting acute coronary syndromes need treating as an emergency. Rapid assessment is crucial but diYcult. Patients with acute chest pain now represent 20% or 30% of all emergency medical admissions, yet less than one third of these will have acute coronary syndromes (acute myocardial infarction or unstable angina). The majority thus do not have signif...

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Chest pain evaluation units

Chest pain is a common cause of accident and emergency (A&E) presentation. In the United States, it accounts for 5–6% of new emergency department attendances. 2 The principal challenge in these patients is to identify those with an acute coronary syndrome (ACS). Early diagnosis allows eVective treatment and inadvertent discharge may have disastrous consequences for patient and doctor: in the Un...

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Defining the role of chest pain units.

Safe, cost-effective management of patients presenting to the emergency department (ED) because of chest pain compatible with myocardial ischemia continues to present a major clinical challenge. Current standards mandate rapid institution of proven therapy for reduction of mortality and morbidity in patients with acute coronary syndromes. However, in most patients presenting to the ED with ches...

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[Chest pain units and emergency departments].

As emerges from the articles by Drs. Pastor et al1 and Sanchís et al,2 it seems that, fortunately, chest pain units (CPU) have begun to get interesting results from the patient care point of view. Thus, the fact that approximately 80% of low-risk patients with chest pain can be discharged with safety from hospital emergency departments (HED) within 24 hours, following performance of ergometry, ...

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The Critical-Care Pain Observation Tool: A useful tool for pain assessment in intensive care units

Pain is a major concern in all intensive care units (ICUs). The proper assessment and management of pain is one of the main goals of patient care in ICUs. Improper evaluation of pain and its over or under treatment can cause significant problems in the process of patient management in ICU. Since most ICU patients are unable to communicate correctly with the ICU team and explain their level of p...

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ژورنال

عنوان ژورنال: Emergency Medicine Journal

سال: 2001

ISSN: 1472-0205,1472-0213

DOI: 10.1136/emj.18.2.148