Acute Coronary Syndrome: A–E Assessment | OSCE Talk
OSCE Talk14 Syys

Acute Coronary Syndrome: A–E Assessment | OSCE Talk

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Chest pain is one of those presentations where having a clear structure really matters.

In this episode, we work through how to assess and initially manage a patient with suspected acute coronary syndrome (ACS) using an A–E approach — including:

Recognising pulmonary oedema and when oxygen is needed
ECG changes, troponins and ACS bloods
Initial treatment including aspirin, GTN and analgesia
STEMI vs NSTEMI vs unstable angina
When to escalate urgently to cardiology
Important alternative causes of chest pain not to miss

The key principle: treat problems as you find them, reassess after every intervention, and call for help early if the patient is deteriorating.

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