Management of Patients with Chest Pain Acute Coronary Syndrome Patient Presents with Chest Pain
ECG- changes consistent with STEMI
ECG- no changes or not available
Call St Johns: 0800 262 665 Give as much information as possible: • Advise chest pain • STEMI on ECG
Call St Johns: 0800 262 665 Give as much information as possible: • Advise chest pain • No ECG available OR • No changes on ECG
Refer to Secondary Care Cardiology Service
St Johns will despatch urgent response and follow Out of Hospital STEMI Pathway including contacting the cardiology team.
St Johns will despatch response
In all cases whilst waiting for an ambulance consider: 1. 2. 3. 4.
Aspirin 300mg Pain relief – GTN IV access +/- morphine Monitoring
Reference: Midland Health Pathways, Acute Coronary Syndrome WBOP PHO Quality Improvement Team
July 2020