Some chest pain patients may be discharged early.
Your clinicians may wish to consider this new rule when treating chest pain patients, and then make their own determination as to treatment. It should not be incorporated into a clinical pathway. Patients younger than 40, with normal initial EKG and no prior history of ischemic chest pain, may be suitable for early discharge. Older patients also may be eligible for early release, if cardiac enzymes are low or do not change or rise in two hours. If your ED does not have a chest pain observation unit, you may end up admitting a greater percentage of these patients.
D002170:Canada; D002637:Chest Pain; D004636:Emergency Service, Hospital; D006801:Humans; D009313:National Health Programs; D010351:Patient Discharge / Q000592:standards*