Vancouver_CPR v.1
Vancouver Chest Pain Rule (VCPR) is a fast evaluation tool to ascertain those patients with chest pain who are at low enough risk to allow to be discharged
The Vancouver Chest Pain Rule (VCPR) is a quick assessment tool which presents a 3 step evaluation of chest pain patients to ascertain whether they are of low enough risk to be discharged or not.
Step 1: If any of the below are answered \"True\" - do not discharge: Abnormal initial EKG? Positive troponin at 2 hours? Prior ACS (Acute Coronary Syndrome) or nitrate use? If all answered \"False\" go to step 2 Step 2: If the following question is answered \"True\" - risk is low - discharge patient Does palpation reproduce pain? If answer is \"False\" continue to Step 3 Step 3: If any of the below are answered \"True\" - do not discharge Age ≥ 50? Does pain radiate to neck, jaw, or left arm? If all are \"False\"- it is safe to discharge the patient.
Not to be used as an absolute diagnostic tool in the absence of other supporting evidence.
Ref.1: Xavier Scheuermeyer F, Wong H, Yu E, Boychuk B, Innes G, Grafstein E, Gin K, Christenson J. Development and validation of a prediction rule for early discharge of low-risk emergency department patients with potential ischemic chest pain. CJEM. 2013;15(0):1-14. PubMed PMID: 23816166. Ref.2: Cullen L, Greenslade JH, Than M, Brown AF, Hammett CJ, Lamanna A, Flaws DF, Chu K, Fowles LF, Parsonage WA. The new Vancouver Chest Pain Rule using troponin as the only biomarker: an external validation study. Am J Emerg Med. 2014 Feb;32(2):129-34. doi: 10.1016/j.ajem.2013.10.021. Epub 2013 Oct 14. PubMed PMID: 24238485.
OBSERVATION.basic_demographic.v1, OBSERVATION.vancouver_cpr_score.v1
