Acute chest pain and suspected ACS
A disciplined approach to immediate threats, ECG interpretation, serial assessment and early specialist escalation.
- ACCESS
- Free
- REVIEW
- Clinically reviewed 2 September 2026
Concise learning guides that connect recognition, first priorities, escalation and structured handover. Built for postgraduate medical learning across grades—not for use as a bedside protocol.
Do not use these summaries as a substitute for current local emergency, resuscitation, antimicrobial or medicines protocols. Escalate early and seek senior or specialist help when clinically indicated.
40 guides are clinically reviewed; 0 new draft awaits clinical review. Find a named emergency in the A–Z index or browse by specialty. Every guide includes practical priorities, red flags, common errors, structured handover and an inspectable UK source.
A disciplined approach to immediate threats, ECG interpretation, serial assessment and early specialist escalation.
Recognise acute heart failure with respiratory compromise, support oxygenation and coordinate monitored specialist treatment.
Recognise a possible aortic dissection, avoid premature ACS treatment and coordinate urgent imaging, stabilisation and specialist transfer.
Identify adverse features, distinguish sinus tachycardia from arrhythmia and prepare time-critical rhythm treatment safely.
Recognise opioid-related ventilatory impairment, support breathing and use naloxone within an observed escalation pathway.
Stop the transfusion, assess physiological danger and preserve the evidence needed for rapid investigation and safe treatment.
Recognise airway, breathing or circulation compromise after a likely trigger and activate the anaphylaxis pathway immediately.
A structured first assessment, early escalation and a safer handover when the diagnosis is not yet clear.
Recognise painful mucocutaneous disease, stop possible culprit medicines and escalate supportive multidisciplinary care.
Recognise haemorrhagic shock, activate the local major-haemorrhage protocol and coordinate source control with resuscitation.
Recognise life-threatening decompensated thyrotoxicosis and initiate senior endocrine and critical-care escalation alongside supportive treatment.
Confirm ketonaemia and acidosis, restore physiology and monitor biochemical resolution using the current DKA pathway.
Correct low glucose promptly, protect the airway where necessary and prevent recurrence by identifying the cause.
Recognise neurological emergency features, control the initial sodium rise and prevent overcorrection.
Treat suspected cortisol deficiency without waiting for diagnostic certainty and correct associated volume and metabolic disturbance.
Recognise threatened upper airway, minimise disturbance and obtain immediate senior airway expertise.
Identify the precipitant and organ failures early while using a structured first-hours cirrhosis pathway.
Stabilise first, quantify risk, reverse avoidable harm and coordinate timely endoscopy.
Recognise pancreatitis with evolving organ dysfunction, use early supportive care and involve critical-care and specialist teams when severity rises.
Recognise severe colitis, assess systemic toxicity and ensure early gastroenterology and colorectal-surgery involvement.
Protect safety, search for reversible illness and use calm, proportionate de-escalation before restrictive intervention.
Recognise a new respiratory complication early, investigate infection and involve haematology before deterioration.
Treat systemic illness after anticancer therapy as an emergency and do not wait for neutrophil confirmation before escalating.
Recognise a rapidly evolving CNS infection, begin time-critical treatment and sequence investigations without unsafe delay.
Recognise high-risk features, search for the source and escalate treatment without losing sight of alternatives.
Recognise severe or fulminant C. difficile infection, isolate promptly and coordinate antimicrobial, surgical and critical-care decisions.
Recognise possible stroke, establish onset and activate the local stroke pathway while checking important mimics.
Start the emergency pathway at five minutes, protect physiology and move decisively through protocol stages.
Recognise evolving neuromuscular respiratory failure, assess bulbar function and arrange early critical-care and neurology support.
Recognise thunderclap headache, establish timing precisely and activate urgent investigation and senior assessment.
Separate uncomplicated retention from possible cauda equina syndrome and arrange urgent spinal assessment when red flags are present.
Recognise a painful red-eye emergency, lower intraocular pressure through the local pathway and protect the fellow eye.
Treat new neurological or spinal warning features in a person with cancer as an oncological emergency.
Provide compassionate concurrent physical and psychosocial care, address immediate safety and avoid unsafe risk-score shortcuts.
Confirm urgency, protect the myocardium, shift potassium and plan definitive removal using a monitored pathway.
Confirm the deterioration, identify reversible threats and escalate complications rather than treating creatinine in isolation.
Recognise severity from physiology and trajectory, treat promptly and escalate exhaustion or poor response.
Recognise possible pulmonary embolism with haemodynamic compromise and accelerate simultaneous resuscitation, diagnosis and escalation.
Recognise cranial ischaemic symptoms, begin emergency treatment and secure same-day specialist assessment.
Identify a threatened limb, assess motor and sensory function urgently, and involve vascular surgery without avoidable delay.
40 clinically reviewed guides represent every branch, with 0 additional draft clearly labelled. This is broad navigation—not a claim of complete acute-care coverage.
Recognition, first priorities, red flags, escalation, handover and evidence links.
£0 · no sign-inInteractive cases, the full MRCP question bank, personalised review, confidence tracking and saved progress. Checkout is not currently open.
View announced prices →