Short Stay Management of Chest Pain

Front Cover
W. Frank Peacock, Christopher P. Cannon
Springer Science & Business Media, Jun 5, 2009 - Medical - 271 pages

Acute coronary syndrome (ACS) continues to challenge our health care system in the complexity of presentation and the ever increasing number of patients exhibiting signs and symptoms of an acute coronary syndrome. Written by leading experts, Short Stay Management of Chest Pain provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population. Short Stay Management of Chest Pain details the remarkable improvements in diagnostic accuracy and improved patient outcomes for patients presenting with suspected acute coronary syndromes.

 

Contents

Epidemiology and Demography of Coronary Artery Disease
1
The Need for New Care Delivery Models
14
Why Have a Chest Pain Unit?
37
Pathophysiology and Definition of the Acute Coronary Syndromes
55
Emergency Department Presentation
66
History Physical and EKG
79
A Chest Pain Center Focus
91
Risk Stratification Using Scoring Systems
115
ShortStay Unit Requirements
142
Medical Therapy in Patients Managed in a Chest Pain Observation Unit
147
Provocative Testing
154
Use of Multislice CT and MRI for the Evaluation of Patients with Chest Pain
185
Disposition from the Short Stay Unit
205
Examples of Patient Discharge Instructions ACS Rule Out Protocols and Order Sheets
218
Index
263
Copyright

Emergency Department Disposition of Patients Presenting with Chest Pain
125

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