<12hrs post chest pain
If haemodynamically unstable, these patients may require a '999' ambulance.
Please perform an ECG - admit via 999 ambulance if this shows acute changes. e.g.:
ST elevation in two or more contiguous leads of >2mm in chest leads or >1mm in limb leads
or new Left Bundle Branch Block
If haemodynamically stable with none of the above ECG changes, please discuss these paitents with the Acute GP service.