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Background: Chest pain is the most common symptom in patients who get admitted to the emergency department. Those patients must be assessed for having or developing Acute Coronary Syndrome (ACS). Early diagnosis of ACS is associated with a good prognosis of the patient if they receive targeted treatment. But, about 80 % of patients have no characteristic presentation to conclude the diagnosis of ACS. This leads to time delay due to the duration of clinical observation and unnecessary treatment. Materials and Methods: This hospital based observational study was done between Jan 2020 and September 2021 at a tertiary care institute of South India. About 101 patients who presented to the emergency department of the institute with chest pain have been enrolled into the study. Patients who presented to the emergency OPD with the symptom of chest pain and were above the age of 40 years of any gender were included in the study. Results: Around 39 percent of the study participants have significant ST elevation on ECG. 56 percent of the study participants have one or two risk factors and only 4 percent have more than or equal to 3 risk factors according to the HEART score. 26 percent of study participants have low risk; 47 percent have moderate risk and 27 percent have a high risk for getting Acute Coronary Syndrome according to the Heart Score. Conclusion: Thus, HEART score is an efficient and time-consuming tool that can be used in the emergency Out-patient department to stratify the patients for management. [ABSTRACT FROM AUTHOR]

Background: A flowering plant seen widely in Southeast Asia and India is gloriosa superba. The poisoning most commonly caused by it is self-poisoning. All part of the plant is toxic. The toxic substance in the seeds and tubers of this plant is colchicine. Case report: In this report, a case of self-poisoning of gloriosa superba poisoning by ingestion of the tuber with an intention of deliberate self-harm is reported. A 29 year old female, had presented with features of Leukocytosis, Pancytopenia, Metabolic disturbance, Alopecia and Acute Toxic encephalopathy. Conclusion: The patient was managed with multi dose activated charcoal MDAC, N -acetyl cysteine (NAC), antiemetics, proton pump inhibitors (PPIs), IV Fluids, Inj. Potassium chloride and Magnesium sulphate, G-CSF (granulocyte colony stimulating factor) injection, plasmapheresis, 3%Nacl and antiepileptic medications, patient clinically improved. [ABSTRACT FROM AUTHOR]