A 63-year-old man on a medical ward complains of new central chest pain. He looks pale and clammy. Observations show HR 110/min, BP 95/60 mmHg, oxygen...

Question

A 63-year-old man on a medical ward complains of new central chest pain. He looks pale and clammy. Observations show HR 110/min, BP 95/60 mmHg, oxygen saturation 92% on air. What is the most appropriate immediate action?

Accepted Answer

Perform immediate ECG, give oxygen if needed and inform senior staff

Answer

Arrange a routine troponin test for the next morning

Answer

Give an antiacid and observe

Answer

Discharge him home if pain settles

Answer

Wait to see if the pain recurs before acting

uk-plab-1 MCQ (SBA): Inpatient acute chest pain management

A 63-year-old man on a medical ward complains of new central chest pain. He looks pale and clammy. Observations show HR 110/min, BP 95/60 mmHg, oxygen saturation 92% on air. What is the most appropriate immediate action?