Diagnosis and Treatment of Chest Pain and Acute Coronary Syndrome (ACS). Chest Pain Screening Algorithm.

[Routine Clinic Evaluation Refer to Clinic Evaluation algorithm]

[Refer to Emergency Intervention algorithm]

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of chest pain and acute coronary syndrome (ACS). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 October. 69 p. Diagnosis and Treatment of Chest Pain and Acute Coronary Syndrome (ACS) Chest Pain Screening Algorithm Initial contact with complaint of "chest pain/discomfort" in person or via telephone. A A = Annotation Initial evaluation by triage indicates elevated risk? A Routine Clinic Evaluation Refer to Clinic Evaluation algorithm Brief screening history by medical personnel. A High-risk symptom(s) present at time of call. A High-risk symptom(s) present within last 2 days. A High-risk symptom(s) present between 3 days and last 2 weeks. A High-risk symptom(s) present between 2 weeks and 2 months. A High-risk symptom(s) present more than 2 months ago. A Urgency uncertain. A Transfer to emergency department (call 911) Clinic evaluation same day Clinic evaluation within 72 hours. A Elective clinic evaluation (within 2 weeks). A Clinic evaluation same day Refer to Emergency Intervention algorithm Refer to Clinic Evaluation algorithm All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.