Although rapid assessment by emergency physicians is vital in treating
patients presenting with chest pain and other signs of acute coronary syndrome,
the ambiguity surrounding symptoms can delay or result in suboptimal treatment.
But while guidelines to help physicians in this task were created in 2002,
they have not been widely adopted.
To address this situation, the American Heart Association (AHA) and
the Society of Chest Pain Centers issued a scientific statement on May 24
offering some practical measures to help emergency physicians incorporate
established, evidence-based guidelines to quickly evaluate and treat unstable
angina/non–ST-segment elevation myocardial infarction (UA/NSTEMI) into
clinical practice. These include templates for forms that can be used in the
emergency department to evaluate patients with chest pain, an algorithm to
speed assessment, and a standing order set to improve use of approved therapies
(Gibler et al. Circulation. 2005;111:2699-2710).
Experts Promote Adoption of Chest Pain Guidelines by Emergency Departments. JAMA. 2005;294(2):164-165. doi:10.1001/jama.294.2.164