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Its legal double speak.For chest pain exclude acute coronary syndrome pulmonary embolism and an abdominal aneurysm .In this case it was not an abdominal aneurysm but a dissecting aortic aneurysm ascending descending or abdominal.The patient was under care for many hours so a CAT scan chest and abdomen was possible .To my way of thinking to excluding only an acute heart problem seems a bit too basic .Also if there are other emergency physicians or health professionals in the ED you can consult with them or look the presentation up .
Good points Ian, thx for your thoughts!!M
What you do matters.