Approach to Chest Pain

An approach to chest pain, featuring the main life threatening conditions we don't want to miss - including typical features in the history and physical exam, ECG and recommended further investigations. 

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Timestamps:
0:00 Chest Pain Introduction
0:40 Acute Coronary Syndrome
3:17 Tension Pneumothorax
4:03 Pulmonary Embolism
5:14 Cardiac Tamponade
6:30 Aortic Dissection
7:43 Esophageal Rupture
8:34 Cardiac vs Non Cardiac Chest Pain (Other Causes of Chest Pain) 


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Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. 

References

1. BMJ Best Practice (2026) Assessment of chest pain – Differential diagnosis of symptoms. BMJ Publishing Group.
2. Farkas, J. (2025) Approach to chest pain. EMCrit Project. Published 15 January 2025.
3. McGill Journal of Medicine (n.d.) Approach to: Chest pain. McGill Journal of Medicine.
4. Kendall, J.M. and Hancock, I. (2019) Chest Pain Syndromes. RCEMLearning EMFP. Published 16 July 2019.