Emergency MedicineCardiology
Acute Chest Pain
Systematic evaluation of acute chest pain to identify STEMI, NSTEMI, PE, aortic dissection, and other life-threatening causes.
Source: NICE CG95; ESC 2023 ACS Guidelines
Step 1 of ~11
info
Immediate Assessment
Ensure airway, breathing, circulation. Obtain 12-lead ECG within 10 minutes. Establish IV access. Continuous cardiac monitoring. Take brief targeted history: onset, character, radiation, associated symptoms.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Morphine (Orthopaedic Acute Pain) · Opioid Analgesic — Strong
- Dexketoprofen (Acute Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor (S-enantiomer of Ketoprofen)
- Sodium Nitroprusside · Direct Vasodilator (NO Donor) — Hypertensive Emergency / Aortic Dissection
- Alteplase (STEMI Thrombolysis) · Thrombolytic / STEMI
- Streptokinase (STEMI Thrombolysis) · Thrombolytic / STEMI
Pathways
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
- Syncope Assessment · ESC 2018 Syncope Guidelines; NICE NG109
- Anaphylaxis Management · Resuscitation Council UK 2021; NICE CG134
Decision support only. Always apply local guidelines and clinical judgement.