In My Opinion
Is the radiology department changing its mind after your patient is discharged?
When you talk to an emergency physician about electronic medical records and emergency department information systems, you’re likely to get a strong reaction.
The key to pain management is to treat your patient the way you’d want to be treated. But are EPs a part of the pain care solution or the problem?
D-dimer assays have been previously hypothesized to be useful for many
disease entities including pulmonary embolism, disseminated
intravascular coagulation (DIC) and subarachnoid hemorrhage (sampled
from the CSF). Now, D-dimer is being considered for the evaluation of
possible aortic dissection. 10 in 100,000 Americans will experience an
aortic dissection annually with 38% being misdiagnosed initially.
Clearly, we need help making this diagnosis. However, is D-dimer the
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.
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