Chest Pain in the ER: The Approach That Scores

A 58-year-old with crushing central chest pain is not a story — he's a sequence. ECG within 10 minutes. Chewed aspirin. Door-to-balloon in 90, or fibrinolysis in 30 when PCI can't make 120. The five killers you must exclude before anyone reaches for lytics — especially the dissection that thrombolytics can kill. Serial troponins, the honest modern version of MONA, and the cocaine-chest-pain trap. Run it in order and chest-pain questions become arithmetic.

⏱ Chapters:
0:00 The patient
0:30 First moves
1:24 STEMI: beat the clock
2:20 The five killers
3:34 Troponin forks the road
4:31 MONA, honestly
5:31 The landing

Educational content only: this video teaches exam concepts (USMLE-style) and is not medical advice; clinical practice follows current AHA/ACC guidelines and local protocols. Stock footage: Pexels (Pexels Licence). Diagrams drawn for this video. Narration: AI-generated voice (Helio) with human-written script — contains AI-generated audio.

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