Clinical| Volume 42, ISSUE 2, P108-113, March 2016

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Cardiac or Anxiety: A Literature Review of the Young Adult Patient Who Presents to the Emergency Department With Chest Pain

      Patients who present with chest pain are commonly seen in the emergency department. Every day, people who are worried that they may be having a myocardial infarction present to the emergency department. In fact, after abdominal pain, chest pain is the second most common reason to come to the emergency department.
      • Bhuiya F
      • Pitts S
      • McCaig L
      Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999-2008. NCHS Data Brief No. 43.
      The process of establishing the seriousness of symptoms and determining how quickly the patient needs immediate medical treatment is called “triage.” Often, triage nurses use an emergency severity index algorithm to assist in determining the seriousness of symptoms. According to the National Center for Health Statistics, in a comparison of data from 2000 with data from 2008, there was a 12.4% decrease in triaged acuity (emergent to immediate) of persons presenting to the emergency department with acute chest pain.
      • Bhuiya F
      • Pitts S
      • McCaig L
      Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999-2008. NCHS Data Brief No. 43.
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      Kathryn Lynn Miley, Member, Indiana ENA Roadrunners Chapter 134, is Board-Certified Family Nurse Practitioner and Board-Certified Emergency Nurse Practitioner, Emergency Department at St Elizabeth, and EmCare, Lafayette, IN.