A 37-year-old man presented to the emergency department with severe
respiratory distress. He reported a history of hypertension, diabetes
and end-stage renal failure for which he received hemodialysis three
times per week. However, he admitted to missing his last two dialysis
A 39-year old female presents to our emergency department with
complaints of “worsening of heartburn”. The patient states that for
several months she has had episodic indigestion and chest discomfort.
She has been taking antacids for several weeks as prescribed by her
family doctor without improvement.
"I think my child has swan flu!” You pause and try your hardest to maintain that poker face you’ve perfected. “I saw it on the news,” she continues, “and then my daughter was at Disney World running around with all these swans yesterday. I think they were contagious!”
What does the EKG show? What should you do next?
Although these CDRs summarize what you should be looking for, regarding history, physical examination and diagnostic criteria that put your patients at risk for ACS, they come up short on real-world application. The value, in my opinion, is knowing what those risky elements are, as opposed to actually calculating a TIMI score.