Emergency · Explanation & counselling

Chest pain, wants to leave

Hard

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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D K K N

2 min reading · 10 min station · reminders at 2 min

Instructions

You are an intern in the emergency department. Kosta Kostas, 42, has chest pain, ECG changes and a raised troponin, and wants to go home to his children.

  1. Explain why he should stay in hospital

  2. Start the treatment he needs

  3. Agree a plan with him

Troponin I

0.15 mcg/L (normal under 0.04)

ECG

New ST depression and T wave inversion, V1 to V3

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