Private clinic and A&E: the interface
Private clinic and A&E: the interface
Private clinic and A&E: the interface
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Rationale for chest pain protocol• A normal ECG does not exclude ACS• Elderly patients <strong>and</strong> diabetics are more prone to atypicalor silent presentation of ACS• Epigastric or upper abdominal pain may be apresentation of inferior myocardial ischaemia• Response to GI cocktail does not rule out ACS• Reproducible chest wall pain does not rule our ACS• Patient with chest pain <strong>and</strong> an abnormal ECG should notbe sent home before fur<strong>the</strong>r assessment25
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