January 8, 2016 - SG1 - Chest Discomfort I

Question 1

Normal ECG and ACS

Answer 1

A normal ECG does not exclude ACS, particularly if the patient is not having chest pain when the ECG is taken.

Question 2

Management of Unstable Angina

Answer 2

Oxygen

Nitrates (if still having discomfort)

ASA (dual anti-coaguability)

Clopidogrel (dual anti-coaguability)

Heparin (dual anti-coaguability)

Fondaparinux (dual anti-coaguability)

Beta-blockers

ACE-inhibitors

Statins

Admission to a monitored bed, not necessarily CCU.

Question 3

Paramedic Report

Answer 3

ALWAYS read the paramedic reports. It is crucial to know what therapies have been instituted en route to the ER as they can impact clinical findings dramatically.