Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

386
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
386
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

316
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
316
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

564
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
564
Angina V: Nursing Management01:20

Angina V: Nursing Management

375
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
375
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

287
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
287
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

1.4K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.4K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Identifying Symptom Clusters Predictive of Acute Myocardial Infarction for Aboriginal and Torres Strait Islander and Non-Indigenous Australians.

Emergency medicine Australasia : EMA·2026
Same author

External Validation of a Universal Laboratory Pathway for Early Risk Stratification of Myocardial Infarction in the Emergency Setting.

The Canadian journal of cardiology·2026
Same author

In reply.

Annals of emergency medicine·2026
Same author

The Children's Urgent Reduction of Forearm Fractures in the Emergency Department (CURFFED) project : a national prospective trainee-led collaborative audit of practice.

Bone & joint open·2026
Same author

Behavioural nudges to reduce low-value care for low back pain in the emergency department (NUDG-ED): a 2 × 2 factorial, pragmatic cluster randomized trial.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne·2026
Same author

Current and Future Indication for Testing and Use of Cardiac Troponin in Children.

Clinical chemistry·2026

Related Experiment Video

Updated: Feb 21, 2026

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
06:39

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders

Published on: August 18, 2016

16.9K

Implementing change: evaluating the Accelerated Chest pain Risk Evaluation (ACRE) project.

William A Parsonage1, Tanya Milburn2, Sarah Ashover2

  • 1Royal Brisbane and Women's Hospital, Brisbane, QLD w.parsonage@mac.com.

The Medical Journal of Australia
|October 9, 2017
PubMed
Summary

Implementing an accelerated diagnostic protocol (ADP) for chest pain patients significantly reduced hospital length of stay and admission rates. This evidence-based approach improved health service capacity and financial efficiency in emergency departments.

Keywords:
Critical pathwaysEmergency medical servicesEmergency medicine

More Related Videos

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

981
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

24.8K

Related Experiment Videos

Last Updated: Feb 21, 2026

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
06:39

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders

Published on: August 18, 2016

16.9K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

981
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

24.8K

Area of Science:

  • Emergency Medicine
  • Clinical Protocols
  • Health Services Research

Background:

  • Chest pain is a common emergency department (ED) presentation.
  • Efficient diagnostic protocols are crucial for managing chest pain patients.
  • Current practices can lead to prolonged hospital length of stay (LOS) and high admission rates.

Purpose of the Study:

  • To evaluate the impact of an evidence-based, accelerated diagnostic protocol (ADP) on hospital LOS and admission rates for chest pain patients.
  • To assess the feasibility of implementing an ADP across diverse hospital settings.
  • To quantify the impact of the ADP on health service capacity and financial outcomes.

Main Methods:

  • Quasi-experimental design with interrupted time series analysis (October 2013 - November 2015).
  • Implementation of a structured clinical re-design to introduce the ADP.
  • Data collected from 16 public hospitals in Queensland, Australia, involving adult patients presenting with chest pain.

Main Results:

  • The ADP identified 21.3% of patients as low risk for acute coronary syndrome (ACS).
  • Mean hospital LOS decreased from 57.7 to 47.3 hours (RR, 0.82).
  • Mean ED LOS for chest pain patients reduced from 292 to 256 minutes (RR, 0.80), and hospital admission rates fell from 68.3% to 54.9% (P < 0.01).
  • Reduced LOS and admissions resulted in an estimated financial capacity release of $2.3 million and $11.2 million, respectively.

Conclusions:

  • Implementing an evidence-based ADP for chest pain assessment is feasible across various hospital types.
  • The ADP significantly reduced hospital admissions and ED length of stay.
  • The protocol achieved a substantial release of health service capacity and financial resources.