Tom, you are being a tad arrogant with this post! You are most certainly NOT an expert in management of chest pain - or have you become a consultant cardiologist overnight. Your post actually is typical of the problem with the 'modern' NHS - that nurses/paramedics/health care assistants etc all think they can do the job of the doctor. I garuantee that your 'expertise' in the pathophysiology of chest pain is not nearly as good as your average A&E middle grade!