In Memphis the Peds ED cut off at the 18th birthday. SO we weren't caught with as many possible ACS and PE cases.
However we followed the Adult ED protocol for acute Chest pain if we thought it was ACS>
Same for PE.
I am currently working in a PEDs ED which is really just 9 rooms in the back of the ED, with its own staff. SO I think it really easy for pts to be triaged to the main ED if there is a suspicion of ACS/PE.
> Date: Tue, 18 Jan 2011 08:33:35 -0800
> From: [log in to unmask]
> Subject: Chest pain in adolescents
> To: [log in to unmask]
> We are seeing more adult disease in adolescents.( mid to late) and young adults
> since most Peds ER see upto 22nd B'day.
> Chest pain with possible ACS and PE have also become a concern.
> Do any of you have a protocol for Chest pain in this age group? If so, does it
> meet the national standards?
> Are these patients triaged to Adult ED or seen in Peds ED with peds or adult
> cardiac consult?
> We are a children's hospital within a general hospital but Peds ED is
> adminisratively under children's. This might make a difference.
> Radhika Vijayan
> What lies behind us and what lies before us are tiny matters compared to what
> lies within us.
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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