Interactive OSCE Checklist – Emergency care of a patient with chest pain – Acute Coronary Syndrome with ST-segment elevation and equivalents

Nataliia Lopina May 14, 2022

Additional materials:

Chest Pain History Taking / OSCE guide

Pericarditis: symptoms, diagnosis, treatment

Stephen Smith’s formula for Subtle Anterior STEMI online Calculator

Two masks of the same syndrome: Wellens syndrome

Aslanger’s Pattern

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Categories: Acute coronary syndrome, Anesthesiology, Cardiology, Cardiology, Cardiology, Cardiology, Emergencies, Emergency, Interactive OSCE Checklists, Myocardial infarction, OSCE, OSCE Checklists

Interactive OSCE Checklist – Emergency care of a patient with chest pain – Acute Coronary Syndrome with ST-segment elevation and equivalents

• Opening the consultation

• Availability of a defibrillator

• Presenting complaint

• History of presenting complaint

• Past medical history

• Drug history

• Physical examination

• Intravenous access

• Registration of a 12-channel ECG

• Express test for the determination of cardiac troponin, myoglobin, creatine phosphokinase-MB, if possible

• Making preliminary diagnosis

• Drug therapy (basic)

• Evaluation of the door-balloon time (the choice of further reperfusion strategy aimed as soon as possible to restore the coronary blood flow in the infarct-dependent artery)

• Call the nearest reperfusion center

• P2Y12 receptor inhibitor prescription depending on the chosen strategy of reperfusion therapy

• Carrying out thrombolytic therapy as needed

• Transportation to the nearest reperfusion center