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Intermediate care NSTEMI rule-out

There are 2 ways to navigate this section, by the static flow-charts below (soon to be combined) or by the buttons

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Given NICE CG95's recommendation for an arrival Troponin, patients entering this stream should have been sufficiently clinically assessed during referral to establish a rough pre-test probability of coronary artery disease (via demographics, HPC, PMHx, previous investigations, exam) and differential diagnoses. Failure to do so diminishes the ability to interpret the result.

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STEP1: Take bloods including a Troponin on arrival

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STEP2: Interpret based on time since chest pain (either clicking the appropriate button below or following the appropriate pathway)

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Troponin <5 (either gender)
Troponin <18 (female) or <27 (male)
>6 hour rule-out pathway
CRCH Chest pain pathway 1.1
>3hr rule-out pathway
CRCH hsTnI pathway.jpg

Camborne-Redruth Hospital

Barncoose Terrace

Cornwall

TR15 3ER

For Life-Threatening Emergencies Call 999

© 2024 by Acute GP Service, CPFT. 

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