Preamble: The following objectives apply to chest pain presenting in the ambulatory care setting (i.e. not an Emergency department).
- Conduct a rapid assessment to identify patients requiring emergency care
- Describe the family physician’s role in the stabilization and initial management of patients identified to require emergent care.
- Develop an approach to emergencies presenting in the family medicine office
- Be able to assess urgency of a problem and communicate with the ER when appropriate
- Understand what you need in the office for management of emergencies
- Conduct a focused history (including cardiac risk factors) and a relevant physical exam
- Develop a concise differential diagnosis for patients with chest pain including cardiac and non- cardiac causes.
- Describe the key clinical characteristics of the following common chest pain conditions: angina, embolism, gastroesophageal reflux, costochondritis, anxiety, and pneumonia.
Chest Pain ER Care Clinical Card 2014
Elzinga KE, Walker I, Krejcik VH, Keegan DA. Chest Pain – ER Care. Canadian Family Medicine Clinical Card. 2011. Available at: https://sites.google.com/site/sharcfm/
Chest pain top 10 diagnoses in family medicine
Ponka D, Kirlew M. Top 10 differential diagnoses in family medicine: Chest pain. Can Fam Physician. 2007;53(12):2146. doi: 53/12/2146 [pii].
Outpatient Diagnosis of Acute Chest Pain in Adults
McConaghy JR, Oza RS. Outpatient diagnosis of acute chest pain in adults. Am Fam Physician. 2013;87(3):177-182. doi: d10795 [pii].