Episode Chapters
- IV Drug Use (IVDA)16:54Paper Chase #1 - Updated CAP Guidelines6:16PE Algorithm in Minutes27:56Legal Lessons - Chest Pain14:34Paper Chase #2 - Duration of Antibiotics for Strep Throat5:51Occupational Health in the UCFree Chapter22:46What Do I Do Next: Cough15:01Paper Chase #3 - Testosterone Replacement and risk of VTE3:05Flashers and Floaters with Dr. Glaucomflecken19:59Fast Track Pearls16:54Paper Chase #4 - One enema to rule them all? Not so much4:56PE basics - Joint Pain9:43PCN Allergy15:43Paper Chase #5 - Intranasal Ketamine & Digital Nerve Blocks4:51Zoster-Ramsey Hunt12:29Mailbag13:08
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.
Urgent Care RAP - January 2020 Written Summary 2 MB - PDF
Zico R. - August 4, 2020 1:46 PM
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 - August 4, 2020 2:28 PM
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