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    Can paramedics avoid A&E departments with patients complaining of non-traumatic chest pain?

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    Author
    Best, Pete
    Keyword
    Emergency Medical Services
    Acute Coronary Syndrome
    Paramedics
    Chest Pain
    Risk Factors
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/214
    DOI
    10.12968/jpar.2017.9.4.165
    Abstract
    Abstract published with permission. The ‘Paramedic Pathfinder’, a triage tool for paramedics, contains a discriminator for patients complaining of non-traumatic chest pain. The pathfinder advises all patients with non-traumatic chest pain to be taken to hospital. Given a background of large numbers of patients complaining of chest pain and the policy direction of UK ambulance services to treat patients closer to home, the inclusion of discriminator in the pathfinder can be challenged. A greater understanding of ACS, university education for paramedics, bedside troponin measurement, ACS risk scoring, current NICE guidelines and rapid access chest pain clinics have been identified as enablers to remove the discriminator safely and assist paramedics in finding suitable alternatives to Accident and Emergency for certain patients. Risk is an important factor in discussing chest pain and establishing the best pathway for patients. The enablers identified need further testing and development in the pre-hospital environment before they can be utilised.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2017.9.4.165
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