Thank you for your helpful content and thoughtful approach. My belief is that it’s crucial to differentiate between acute coronary symptoms and benign causes for chest discomfort. Misdiagnosis may result in deaths. Prior to diagnosis, chest discomfort should be handled as a medical emergency (Erdogan & Kilic, 2022). An important proportion of people who visit the outpatient unit develop acute coronary Syndrome.
Jamie, on the basis of your extensive essay, I concluded that history taking is essential to a diagnosis. A diagnosis can be made based on ninety per cent of the history, ninety per cent of the physical examination, one percent diagnostic tests, and laboratory exams. Maria and colleagues, 2022). The combined combination of the primary complaint with medical history provides at least 75% diagnostic insight. Both of these factors are still very detrimental to differential diagnosis for chest discomfort. They should not be underestimated.
To draw your attention, I want to highlight the main problem facing patients with chest discomfort who present to the emergency department. Paramedics may be the first to see a patient and are often the most knowledgeable. However, their expertise is limited in the ability to take a detailed history and perform a physical exam and give an accurate diagnosis. They may miss the diagnosis because they focus on classic symptoms when the majority of cases don’t have them.
Given the above recommendation, I suggest that paramedics continue to update their skills as well as intensive training in the causes and symptoms of heart disease. The paramedics will then be better equipped to make a prehospital diagnosis and can begin treatment as soon as they arrive at the facility. This reduces unnecessary complications and enhances recovery.