chest pain

chest pain > 15 min and age > 35 OR no improvement with rest OR history of heart disease, diabetes, Marfan’s

ER

• myocardial infarction or cardiac event

chest pain, dyspnea, hemoptysis, cyanosis with sudden onset

ER

• pneumothorax

• pulmonary embolism

chest pain and syncope

ER

• cardiac event or aortic dissection

chest pain and tachycardia, hyperpnea, gasping breaths

ER

• tracheal or bronchial spasm

chest pain and pruritis (itching)

ER

• anaphylaxis

chest pain and current infection

ER

• pericarditis, endocarditis, pleurisy

chest pain and dyspnea only with exertion

urgent

• ischemic heart failure

chest pain and palpitations with exertion

urgent

• arrythmia

chest pain and purulent cough and abnormal auscultation

urgent

• pneumonia or pulmonary infection

chest pain and dysphagia that changes with meals, while reclining

standard

• upper GI, dyspepsia, gastric reflux

chest pain and palpable mass in chest muscle/ skin

standard

• breast tumore or otehr neoplasm

chest pain and single dermatome distribution

standard

• nerve root irritation

chest pain and tender palpation of ribs, pectoralis or costal cartilage

standard

• musculoskeletal injury