Acute coronary syndrome (chest pain flow chart!)

Primary

Als

ABCS

O2 sat

Secondary Assessment

OPQRST

O

What were you doing when the pain started? Often happens on exertion, emotional or physical

P

Does anything make the pain better or worse?

Often worse with exertion, better with rest

Q

What does the pain feel like?

Often indigestion, heavy, tight, crushing

R

Radiation of pain to other areas, such as the arms, neck, jaw, or back.

S

How would you rate your pain 1-10

T

How long has the pain lasted?

15 minutes plus is unstable angina

A

Any allergies?

M

Are you on any medication? (ED drugs mean no nitro)

P

SADCHF

L

When did you last eat something?

E

What were you doing when this happened?

Looking for aggravation on exertion