Low Risk Chest Pain in the ED

I had a conversation with a few of the residents about the management of low risk chest pain in the Emergency Department. The issues which always seem to come up are:

  • If the first troponin is normal, can I send them home?
  • I don’t think this is cardiac, let’s just get one troponin and then send ’em home.
  • Okay fine, let’s just do two sets and then send ’em home.

The patients which are obviously cardiac and obviously not cardiac are easy, but what about those ones in which there’s some question?

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