Chest Pain​

Objectives

To outline chest pain diagnosis and management in the deployed setting

Scope

  • Diagnosis
  • Investigations
  • Management
  • Onward care

Audience

  • Doctors
  • Nurses
  • Paramedics
  • Medical Assistants/Combat Medical Technicians

Initial Assessment & Management

Chest Pain​

Myocardial Infarction and Acute Coronary Symdromes (Link NICE Guideance)

 

 

Advanced Assessment & Management

Thrombolysis

Prolonged Casualty Care

  • Maintain continuous monitoring
    • 3 lead ECG
    • Sats
    • NIBP
  • Serial (6 hourly) 12 lead ECGs for first 48 hours AND/OR any chest pain or shortness of breath
  • Reach back to DCA Medicine (or deputy) via TELEMEDICINE
  • Saf edit for illustrative purposes only

Paediatric Considerations

As per adult guidelines
Consider undiagnosed congenital abnormalities
(Saf edit - for illustrative purposes)

Next review date: 10/01/2024

Author(s): DCA Emergency Medicine.

Version: 1

Co-Author(s): DCA Medicine.

Approved By: Clinical Guidelines for Operations Working Group

Reviewer name(s): DCA Emergency Medicine.

Related guidelines
Related resources

Scenario: Management | Management | Chest pain | CKS | NICE

Evidence method

No record of named electronic database(s) or evidence source(s) where the search was performed (e.g., MEDLINE, EMBASE, PsychINFO, CINAHL)

No record of time periods searched (e.g., January 1, 2004 to March 31, 2008)