Acute Coronary Syndrome; Roadside to Resus
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 15 September 2021
⏱️ 69 minutes
🧾️ Download transcript
Summary
So this time we're going to be looking at the HUGE topic of acute coronary syndrome (ACS)! ACS ranges from patients who appear well at the time of their presentation, to those that have arrhythmias, haemodynamic instability, to those that are in cardiac arrest!
There are around three quarters of a million ED chest pain attendances per year for acute chest pain and it accounts for around 25% of ED medical admissions!!
Some of the treatments we'll discuss for patients with ACS can have a huge affect on morbidity and mortality and we can make a real difference to our patients. The ESC guidelines are a fantastic resource to take a look at and we've listen the papers that form the evidence we cover in the podcast.
We worry about missing ACS and conversely, with so many 'suspected ACS patients', we also worry about overly suspecting it and the subsequent burden of admissions and investigations that it may mean. We're going to cover the approach to ACS in this episode in our standard format, all the way from definition, patho-physiology, assessment, investigations and management and cover aspects that are both new information and a sound revision of the topic.
Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Enjoy!
Simon, Rob & James
Transcript
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| 0:00.0 | Welcome to the Recess Room podcast. |
| 0:03.5 | Five, four, three, two, one, fire. |
| 0:12.0 | So hi, and welcome back to the Reeser Room podcast. |
| 0:15.6 | I'm Simon Lang. |
| 0:17.0 | I'm Rob Fenwick. |
| 0:17.9 | And I'm James Yates. |
| 0:19.1 | And we're back after our summer hiatus with another roadside to recess. We thought we'd start off with a small topic of acute coronary syndrome. |
| 0:29.5 | My gosh, you know what I was reflecting on this a minute ago? I was thinking if each one of us had a pound for every chest pain patient that we'd ever seen in our careers, I don't think we'd be sitting here behind these microphones, would we? |
| 0:39.5 | No, mate. Rob would be off spending his five quids straight away. |
| 0:44.2 | I was thinking more about the fact we should have started recording this at Easter, |
| 0:48.3 | and then we might have it out by the middle of September. |
| 0:51.3 | But anyway, boys. |
| 0:52.7 | Okay, so yeah, it is a pretty meaty topic and I think actually having prepared for this, |
| 0:58.7 | even for those of you that have seen thousands and thousands of these patients, |
| 1:01.8 | there should be some gems in here to help refine your practice a little bit. |
| 1:06.2 | So before we get into the episode, a huge thanks to S.J. Trem, |
| 1:09.7 | the Scandinavian Journal of Trauma, Resuscitation and |
| 1:12.5 | Emergency Medicine, who partner with us on the podcast and make it all free and open access to you. |
| 1:18.2 | So go and have a look at the hyperlink on our website through to their fantastic online open access journal. |
| 1:23.6 | So without further ado, let's crack into the episode. |
| 1:28.6 | All right, well, I guess it guess the first place to start with is an introduction. |
| 1:33.0 | So this is a big, big topic, acute coronary syndrome. |
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