For stable angina, please see Angina (rapid access chest pain clinics)
If a patient has ongoing, cardiac sounding chest pain, a 999 ambulance should be called by the referring healthcare practitioner.
STEMI – if a community ECG suggests an acute STEMI then a 999 ambulance should be called. The ambulance crew will liaise directly with BHI (do not add to the medical take).
NBT
Ongoing or Subsided chest pain - but otherwise patient fits all other SDEC criteria ->can be seen Gate 36 SDEC, call SDEC consultant if unsure
Unstable patient/ or clearly needs admission -> 31A SS
BRI
Ongoing or subsided chest pain, but otherwise fits all other SDEC criteria - SDEC A307.
Stable angina or episode of prolonged chest pain (more than a few days ago) -> RACP clinic (usually seen within 48hours at BRI).
WGH
Ongoing, cardiac sounding chest pain (not had ECG) -> 999 (as may go to BHI if STEMI). Not on medical take list.
Recent episode of cardiac-sounding chest pain, now pain free, normal ECG, GP wanting rule out trop -> SDEC ( unless other SDEC exclusions apply)
Ongoing chest pain / Unstable angina -> present to ED and put on medical take list.