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Mainlining Madness

Legal Lessons - Chest Pain

Mike Weinstock, MD and Matthew DeLaney, MD
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No me gusta!

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Tags Cardiovascular CV · Medicolegal

The 5 symptoms which have been shown to be concerning historical symptoms are exertional pain, diaphoresis, radiation of pain, vomiting and pain similar to previous MI.

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Zico R. -

This is helpful information. I love having a validated tool that I can turn to like the HEART score however, I work in an urgent care setting where getting a troponin would not practical or timely in making a decision. Any suggestions on how to further ensure I make the correct decision other than sending everyone with a suspicious story to the ER for evaluation? I feel like this could be the best practice in my setting if I suspect ACS at all.

Mike W., MD -

Hi Zico, thx for the question. Unfortunately, without the troponin it is hard to find a reliable clinical decision tool... yes much easier if you have access to tons of testing!!
M

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Urgent Care RAP - January 2020 Written Summary 2 MB - PDF

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