Chest pain is a common complaint among ED patients, yet failure to diagnose acute myocardial infarction in the trauma unit occurs in as many as 20 percent of cases, according to some estimates.
Serious conditions that are occasionally misdiagnosed in the ED include: acute myocardial infarction, stroke, pulmonary embolism, meningitis and appendicitis. Standard protocol for chest pain is an echocardiogram (ECG); however, physicians may rely too heavily on this test, which does not rule out a heart attack if results are normal.
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