Chest Pain​

Objectives

To outline chest pain diagnosis and management in the deployed setting

Scope

  • Diagnosis
  • Investigations
  • Management
  • Onward care

Audience

  • Doctors
  • Nurses
  • Paramedics
  • Medical Assistants/Combat Medical Technicians

Advanced Assessment & Management

 

Thrombolysis

Prolonged Casualty Care

Maintain continuous monitoring

  • 3 lead ECG
  • Sats
  • NIBP

Serial (6 hourly) 12 lead ECGs for first 48 hours AND/OR any chest pain or shortness of breath

Reach back to DCA Medicine (or deputy) via TELEMEDICINE

Paediatric Considerations

As per adult guidelines
Consider undiagnosed congenital abnormalities

Last reviewed: 15/03/2024

Next review date: 15/03/2025

Co-Author(s): DCA General Medicine.

Approved By: DCA Emergency Medicine

Related guidelines
Related resources

Scenario: Management | Management | Chest pain | CKS | NICE

 

References

Acute coronary syndromes NICE guideline [NG185]

Evidence method

No record of named electronic database(s) or evidence source(s) where the search was performed (e.g., MEDLINE, EMBASE, PsychINFO, CINAHL)

No record of time periods searched (e.g., January 1, 2004 to March 31, 2008)