6. Conclusion

Cardiovascular emergencies present as most challenging emergencies in the emergency department. Presence of atypical signs and symptoms and presentations resembling many other benign medical conditions make it very challenging to timely diagnose them few times. Choosing inappropriate or unnecessary investigations will delay the disposition of the patient which may lead to a busy emergency department. It may lead to prolonged length of stay, delay in diagnosing serious emergencies and discharging patients inappropriately resulting in mortality or morbidity cases. This will compromise the credibility of the department. Taking proper history with systematic and symptomatic approach and doing a detailed examination and choosing the right investigations will reduce the length of stay of patient and on the other hand will help the physician in avoiding inappropriate discharges or referrals to subspecialty. Sound medical knowledge and awareness of differential diagnosis help in avoiding delayed patient disposition.
