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
Used in: Acute Coronary Syndrome & Chest Pain
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
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- 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
Featured in these MRCEM clinical pathways
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MRCEM Primary / Intermediate / OSCE candidates: each pathway includes exam-style questions, RCEM/NICE citations, and FAQ summaries.
Decision support only. Always apply local guidelines and clinical judgement.