Australasian Emergency Nursing Journal
Volume 10, Issue 2 , Pages 58-63 , May 2007

Low-risk classified chest pain patients: Do they need cardiac monitoring in the emergency department and can they be cared for in non-monitored beds?

  • D.R. O’Neill, MNSc, PGDip (Emergency), BSc (Hons)

      Affiliations

    • Corresponding Author InformationCorrespondence address: Rosebud Hospital, Rosebud Emergency Department, Nepean Highway, Rosebud, Victoria 3939, Australia. Tel.: +61 3 9770 4191; fax: +61 3 9776 4029.

Received 22 November 2006 ,Revised 4 February 2007 ,Accepted 3 March 2007.

References 

  1. Sultana RV, Kerr D, Kelly A-M, Cameron P. Validation of a tool to safely triage selected patients with chest pain to unmonitored beds. Emerg Med. 2002;14(4):393–399
  2. Kelly A-M, Kerr D. Clinical features in the emergency department can identify patients with suspected acute coronary syndromes who are safe for care in unmonitored hospital beds. Intern Med J. 2004;34(11):594–597
  3. Snider A, Papaleo M, Beldner S, Park C, Katechis D, Galinkin D, et al. Is telemetry monitoring necessary in low-risk suspected acute chest pain syndromes?. Chest. 2002;122(2):517–523
  4. Hollander JE, Sites FD, Pollack CV, Shofer FS. Lack of utility of telemetry monitoring for identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest pain. Ann Emerg Med. 2004;43(1):71–76
  5. Aroney CN, Aylward P, Kelly A-M, Chew DPB, Clune E, Allan RM, et al. Guidelines for the management of acute coronary syndromes 2006. Med J Aust. 2006;184(8 Suppl.):516–525
  6. Estrada CA, Rosman HS, Prasad NK, Battilana G, Alexander M, Held AC, et al. Evaluation of guidelines for the use of telemetry in the non-intensive-care setting. J Gen Intern Med. 2000;15(1):51–55
  7. McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 Emergency Department Summary. Advance Data from Vital and Health Statistics. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Health Statistics; 2004, p. 1–36.
  8. Singer AJ, Visram F, Shembekar A, Khwaja M, Viccellio A. Telemetry monitoring during transport of low-risk chest pain patients from the emergency department: Is it necessary?. Acad Emerg Med. 2005;12(10):965–969

PII: S1574-6267(07)00044-4

doi: 10.1016/j.aenj.2007.03.001

Australasian Emergency Nursing Journal
Volume 10, Issue 2 , Pages 58-63 , May 2007

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