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MEDICAL DISCLAIMER: Educational use only. Not for diagnosis or management. See below for full disclaimer.
Acute chest pain - ED first hour ⚠️ 🫀
⚠️ 🫀 Acute chest pain - ED first hour
TIME-SENSITIVE — assess severity and escalate if deteriorating.
🔎 Recognise
Assess ACS, PE, aortic dissection, pneumothorax and oesophageal rupture clues.
🛟 First actions
12-lead ECG immediately, observations, analgesia and targeted oxygen if hypoxic.
🧪 Investigate / reassess
Serial ECG/troponin when appropriate, risk-based imaging, avoid premature reassurance.
⚠️ Escalation / pitfalls
A normal initial ECG does not exclude ACS.
Source:NICE NG185 acute coronary syndromes (reviewed March 2026). Checked: 3 November 2026 for linked source; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.
