Emergency Department Approach to Chest Pain Dr Hamidi Slides: 25 Download presentation Emergency Department Approach to Chest Pain Dr. Hamidi Medical University of Birjand Stable Patient Stable Patient Stable Patient CXRay Diagnostic Nondiagnostic ﺍﻟگﻮﺭیﺘﻢ 2 Stable Patient ﺍﻟگﻮﺭیﺘﻢ 2 Diagnostic 1 - Pneumonia / COPD 2 - Pneumothorax AD 3 - Widened Mediastinum, & Aortic knob prominent 4 - Evidence of HF sudden onset severe sharp or tearing pain at onset or Pulse or BP discrepancy Un. Stable Patient Un. Stable Patient Un. Stable Patient Un. Stable Patient Un. Stable Patient Un. Stable Patient Non. Diagnostic 1 - Revaluation for ACS <4 2 - Wells’ Score Calculation >4 D-dimer checking Confirm PTE ﻭیﺰیﺖ کﺎﺭﺩیﻮﻟﻮژیﺴﺖ 3 - History, Physical Exam & ECG Tamponade ﻭیﺰیﺖ کﺎﺭﺩیﻮﻟﻮژیﺴﺖ Non. Diagnostic CP Unit