Junior doctor survival kit
You’ve been bleeped: chest pain
The aim of this series is to present common on-call scenarios that you might face as a junior doctor and to provide a framework to help you deal with your reactions when your bleep goes off. By reflecting the voices of a junior doctor and a medical registrar, this series will give the perspectives of both. Our aim is to provide you with insights on how best to approach the initial problem and how to manage the patient once you have reached the ward.
After recording the full patient details on your job list you need a clear idea of the clinical situation of the patient. A quick way to achieve this is to ask for the bedside observations and calculate a national early warning score (NEWS).2
A NEWS can be used to evaluate quickly the urgency of a clinical situation, but its main aim is to trigger early medical