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Cardiovascular Conditions in the Observation Unit: Beyond Chest Pain

Jeremiah D Gaddy1, Kathleen T P Davenport2, Brian C Hiestand1

  • 1Department of Emergency Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA.

Emergency Medicine Clinics of North America
|July 17, 2017
PubMed

Insights

Emergency department observation units (EDOUs) initially focused on chest pain. Now, most EDOUs manage multiple cardiovascular conditions using protocolized care, improving patient outcomes.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Healthcare Management

Background:

  • Emergency department observation units (EDOUs) were initially designed for chest pain and acute coronary syndromes.
  • The scope of EDOUs has expanded to include a wider range of conditions amenable to rapid assessment and treatment.

Purpose of the Study:

  • To discuss the successful implementation and management of four distinct cardiovascular conditions within EDOUs.
  • To highlight the evolution of EDOUs beyond their initial focus.

Main Methods:

  • Review of current practices in EDOUs across the country.
  • Analysis of protocolized diagnostic and therapeutic regimens for cardiovascular conditions.
  • Case examples of successful EDOU deployment for specific cardiovascular diseases.

Main Results:

  • EDOUs are effectively managing multiple cardiovascular conditions beyond chest pain.
  • Protocolized approaches facilitate aggressive diagnostic and therapeutic strategies.
  • Successful deployment models exist nationwide for various cardiovascular conditions in EDOUs.

Conclusions:

  • EDOUs are versatile and effective settings for managing a broader spectrum of cardiovascular diseases.
  • The expansion of EDOUs reflects a successful adaptation to evolving healthcare needs.
  • Protocol-driven care in EDOUs improves efficiency and patient management for cardiovascular conditions.

Keywords:
Atrial fibrillationCardiovascular conditionsEmergency departmentHeart failureObservation unitSyncopeVenous thromboembolism

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