Chest Pain with a Normal ECG: Who Are We Missing?
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Chest Pain with a Normal ECG: Who Are We Missing?
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Show notes: Chest pain + normal ECG isn’t “low risk” — it’s a cognitive trap. Learn what matters first: story, trajectory, and risk.
Episode 1 — Chest Pain with a Normal ECG · Who Are We Missing?
A normal ECG can feel reassuring — but in acute medicine it’s often just a snapshot.
In this episode, we walk through a common on-call scenario: a patient with chest tightness, normal observations, and a normal ECG… and the cognitive trap that follows. We break down what the ECG can and cannot tell you, why chest pain is a moving story, and how senior clinicians think differently under pressure.
You’ll learn:
Why “normal ECG” does not equal “low risk”
The 3 things that matter most: story, trajectory, and risk context
The most common junior pitfalls (anchoring, waiting for bloods, not reassessing
A bounded-action decision framework for safer on-call judgement
Educational content only — not a substitute for local guidelines or senior clinical advice. For structured interpretation guides, red flags, and full case walkthroughs, visit the AcuteCast app.
https://acute-cast--jgoncalo7.replit.app
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