Approach to Chest Pain

EMKF #FOAMed

Clinical factors that INCREASE likelihood of ACS/AMI:

  • CP radiating bilaterally > right > left
  • Diaphoresis associated with CP
  • N/V associated with CP
  • Pain with exertion

Clinical factors that DECREASE likelihood of ACS/AMI:
Chest pain that is:

  • Pleuritic
  • Positional
  • Sharp, stabbing
  • Reproducible with palpation

EMKF

The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.