
Incorporating: Acute GP, SDEC, UTC
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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>6 hour rule-out pathway

RACPC outpatient form (can use MAXIMS)
>3hr rule-out pathway
