The Elder Patient with Suspected Acute Coronary Syndromes in the Emergency Department
نویسندگان
چکیده
منابع مشابه
Utility of routine coagulation studies in emergency department patients with suspected acute coronary syndromes.
BACKGROUND Many emergency departments use coagulation studies in the evaluation of patients with suspected acute coronary syndromes. OBJECTIVES To determine the prevalence of abnormal coagulation studies in ED patients evaluated for suspected ACS, and to investigate whether abnormal international normalized ratio/partial thromboplastin time testing resulted in changes in patient management an...
متن کاملBeyond triage: the diagnostic accuracy of emergency department nursing staff risk assessment in patients with suspected acute coronary syndromes.
OBJECTIVES To establish the accuracy of emergency department (ED) nursing staff risk assessment using an established chest pain risk score alone and when incorporated with presentation high-sensitivity troponin testing as part of an accelerated diagnostic protocol (ADP). DESIGN Prospective observational study comparing nursing and physician risk assessment using the modified Goldman (m-Goldma...
متن کاملStandardized reporting criteria for studies evaluating suspected acute heart failure syndromes in the emergency department.
Heart failure requiring urgent therapy represents a burgeoning health care burden. Although acute heart failure syndromes are commonly defined as a change in chronic heart failure signs and symptoms requiring urgent therapy, the presentation, development, and response to treatment is highly dependent on individual patient characteristics. This heterogeneity has led to challenges in interpreting...
متن کاملRisk Stratification for Patients with Non-ST-Segment Elevation Acute Coronary Syndromes in the Emergency Department
Emergency physicians routinely risk stratify multiple patients simultaneously in the emergency setting. Identifying the critically ill or injured patient rapidly allows for appropriate therapy to be delivered in a timely fashion. For patients with possible acute coronary syndrome, the 12-lead electrocardiogram obtained within 10 minutes after arrival to the ED quickly identifies patients with S...
متن کاملState-of-the-Art Evaluation of Emergency Department Patients Presenting With Potential Acute Coronary Syndromes.
It is well established that clinicians cannot use clinical judgment alone to determine whether an individual patient who presents to the emergency department has an acute coronary syndrome. The history and physical examination do not distinguish sufficiently between the many conditions that can cause acute chest pain syndromes. Cardiac risk factors do not have sufficient discriminatory ability ...
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ژورنال
عنوان ژورنال: Academic Emergency Medicine
سال: 2007
ISSN: 1069-6563,1553-2712
DOI: 10.1111/j.1553-2712.2007.tb01871.x