Emergency Department Clinical Pathway for Evaluation/Treatment
of Children with Chest Pain without Known Cardiac Disease
(+) History or
Physical Examination
Physical Examination
(+) Past Medical History
or Family History
or Family History
(-) History or
Physical Examination
Physical Examination
- Monitor, ECG,
- Cardiology Consult
ECG
Abnormal
Normal
- Discuss need for chest X-ray, labs with Cardiology
Abnormal
Normal
Cardiology consult
Risk Factors for Cardiovascular Etiology
History | Physical Exam | Non-Cardiac Past Medical History |
Family History |
---|---|---|---|
|
|
|
|
Posted: January 2014
Revised: February 2023
Authors: M. M'Farrej, MD; P. Stephens, MD; J. Lavelle, MD; M. Elias, MD
Revised: February 2023
Authors: M. M'Farrej, MD; P. Stephens, MD; J. Lavelle, MD; M. Elias, MD
Evidence
- Epidemiology and Risk Factors of Pediatric Chest Pain: a Systematic Review
- Management of Pediatric Chest Pain Using a Standardized Assessment and Management Plan
- Effectiveness of Screening for Life-threatening Chest Pain in Children
- Resource Utilization Reduction for Evaluation of Chest Pain in Pediatrics Using a Novel Standardized Clinical Assessment and Management Plan (SCAMP)