The Fast and the Furious: Low-Risk Chest Pain and the Rapid Rule-Out Protocol

Autor: Maite Anna Huis in ’t Veld, Louise Cullen, Simon A. Mahler, Barbra E. Backus, Zachary D.W. Dezman, Amal Mattu
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Western Journal of Emergency Medicine, Vol 18, Iss 3, Pp 474-478 (2017)
Druh dokumentu: article
ISSN: 1936-900X
1936-9018
DOI: 10.5811/westjem.2016.12.32676
Popis: Accelerated diagnostic pathways (ADP) have been designed to identify low-risk chest pain patients in the emergency department. This review article discusses the Asia-Pacific Evaluation of Chest Pain Trial (ASPECT) score, the Accelerated Diagnostic Protocol for Chest Pain Trial (ADAPT) score, the Emergency Department Assessment of Chest Pain Score (EDACS), the HEARTScore and the HEART pathway. These ADPs have been validated in various studies and aid the emergency provider with identifying the low-risk chest pain patient who is appropriate for discharge home, while at the same time highlighting those patients who would benefit from further in-patient work up. These approaches should be paired with patient input and shared decision-making strategies. [West J Emerg Med. 2017;18(3)474-478.]
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