Please enable JavaScript.
Coggle requires JavaScript to display documents.
Patient presents with CHEST PAIN - Coggle Diagram
Patient presents with
CHEST PAIN
Assess Vital Signs &
General Appearance
UNSTABLE
Hypotension, Hypoxia, Altered Mental Status
IMMEDIATE EMERGENCY
REFERRAL
Resuscitate and transfer
STABLE
Task 1: Is it Cardiac? Assess for ACS Features: - Substernal
pressure/squeezing
Radiation to arm/jaw
Exertional provocation - Associated N/V, diaphoresis
YES
High suspicion for ACS
URGENT REFERRAL TO ER
Activate STEMI protocol
ECG, Troponin
NO
Red Flag Assessment
Aortic Dissection? 'Tearing' pain to back, pulse deficit, BP differential
Other? e.g., Tamponade, perforating ulcer, tension pneumothorax
Pulmonary Embolism? Wells Criteria >4, hypoxia, pleuritic pain, tachycardia
YES to any red flag
NO Red Flags Present
Key Differentiating Features
Musculoskeletal
Pain reproducible on palpation
Related to movement or respiration
1 more item...
Pericarditis
Sharp, pleuritic pain
Relieved by sitting forward
1 more item...
GERD/Heartburn
Burning, retrosternal
Post-prandial/recumbent
Relieved by antacids
1 more item...
Anxiety/Panic Feeling of doom
Hyperventilation, paresthesia
Related to stress
1 more item...