Triage of chest pain patients in the emergency department.
نویسنده
چکیده
Patients (b) and (c) are usually treated with anti-angina and antiplatelet therapy and patient (a) may not be on any cardiac medications. The clinical presentation must be considered in the context of other factors, eg age, gender, hypertension,dyslipidemias,positive family history of premature coronary artery disease, diabetes, chronic kidney disease, cigarette smoking, and use of drugs such as cocaine.
منابع مشابه
Determining the Telephony Triage Outcome in Patients with Chest Pain in Emergency Center in 115 provinces of Qom according to the New Jersey Modified Protocol in the first half of 1396
Introduction: The most common complaint of heart patients is pain and chest discomfort. The delay in transmitting patients from the onset of symptoms to reaching a treatment center is one of the most important reasons for the deaths of these patients. There is a direct relationship between the early services provided by the pre-hospital emergency room with positive therapeutic outcomes and the ...
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Coronary computed tomographic angiography has become a reliable diagnostic tool in the evaluation of patients with chest pain. Studies have shown this modality to be accurate and safe when compared with conventional methods of assessing patients with chest pain. We review the recent developments with coronary computed tomographic angiography and devote particular attention toward its applicatio...
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PURPOSE The Acute Cardiac Ischemia Time-Insensitive Predictive Instrument (ACI-TIPI) has been shown to improve diagnostic accuracy of acute cardiac ischemia (ACI) and decrease coronary care unit admissions in urban emergency departments. The purpose of this study was to determine the impact of the ACI-TIPI on triage and diagnosis of patients with chest pain in rural hospitals. METHODS We unde...
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STUDY OBJECTIVE Triage standing orders are used in emergency departments (EDs) to initiate evaluation when there is no bed available. This study evaluates the effect of diagnostic triage standing orders on ED treatment time of adult patients who presented with a chief complaint for which triage standing orders had been developed. METHODS We conducted a retrospective nested cohort study of pat...
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OBJECTIVE Patients at low risk for acute coronary syndrome (ACS) who present to the emergency department complaining of acute chest pain place a substantial economic burden on the U.S. health care system. Noninvasive 64-MDCT coronary angiography may facilitate their triage, and we evaluated its cost-effectiveness. MATERIALS AND METHODS A microsimulation model was developed to compare costs an...
متن کاملAn Online Tool for Nurse Triage to Evaluate Risk for Acute Coronary Syndrome at Emergency Department
Background. To differentiate acute coronary syndrome (ACS) from other causes in patients presenting with chest pain at the emergency department (ED) is crucial and can be performed by the nurse triage. We evaluated the effectiveness of the ED nurse triage for ACS of the tertiary care hospital. Methods. We retrospectively enrolled consecutive patients who were identified as ACS at risk patients ...
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ورودعنوان ژورنال:
- Clinical cardiology
دوره 33 8 شماره
صفحات -
تاریخ انتشار 2010