Ràpida evaluaciòn de Dolor de Pecho

Chest pain is responsible for more than 8 million visits to emer- gency departments (EDs) each year in the United States. This diagnosis presents a large burden on the ED, acute care hos- pitals, and overall resources dedicated to medical care. In this era of shrinking resources, increased efficiency of initial evalu- ation and safe discharge directly from the ED of patients at very low risk has the potential of reducing unnecessary admis- sions, thereby reducing significant costs.1 Inadvertent dis- charge of patients presenting with chest pain is a constant fear of ED physicians, and the dire consequences of an acute coro- nary event drives the desire for substantial testing to achieve a high level of certainty for a negative diagnosis.

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