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EM Clerkship

Chest Pain

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 27 March 2016

⏱️ 10 minutes

🧾️ Download transcript

Summary

There are six cardiopulmonary causes of chest pain that you need to know. The SIX Causes Cardiac Acute coronary syndrome (ACS) Pericarditis with tamponade Pulmonary Pneumonia Pneumothorax Vascular Pulmonary embolism Aortic dissection Step 1: Core Measures Aspirin EKG Step 2: Look for the “King” (Acute Coronary Syndrome) Four high yield symptoms Radiation to the RIGHT […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more

0:38.9

at www.gitfreed.a.i. Hello, med students. My name is Zach Olson, and today we are going to address

0:50.5

one of the core chief complaints. I'm going to give you an approach to chest pain.

0:57.2

You really need to pay attention today. It's really important, guys. In this episode, there is one

1:02.7

thing about chest pain that I need you to understand. If you exclude the GI causes of chest pain,

1:10.3

the most important of those being esophageal rupture,

1:13.9

there are only six remaining cardiopulmonary causes of chest pain that you need to know,

1:20.2

because they are life-threatening.

1:22.5

These are the six can't miss diagnoses.

1:26.1

There's two cardiac causes, acute coronary syndrome and paracarditis.

1:32.1

There's two pulmonary causes, pneumonia and pneumothorax. And then there's two vascular causes,

1:40.8

pulmonary embolism and aortic dissection. And a disclaimer, before we get started, I'm not going to be

1:47.1

going through O PQRST and telling you to get a thorough medical history and listen to the patient's

1:53.8

heart and their lungs. I'm not going to be doing any of that in this episode. We are instead going to be

1:59.1

doing a five-step approach specifically for chest

2:03.1

pain. These are the five specific things for chest pain that you need to do on every chest pain

...

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