As part of the Rapid Review series, I try to highlight key points from important guidelines. I am not sure that this guideline from the American College of Cardiology rises to that level, but I had to review it to update the EM:RAP CorePendium chapter, so I might as well […]
chest pain
11 posts
I have a long history of complaining about guidelines and their seeming disregard for science and common sense. Therefore, when I sat down to read the most recent AHA guidelines on the evaluation and diagnosis of chest pain, I expected to be disappointed. Honestly, I was pleasantly surprised. It is […]
Took a quick break from paternity leave to have a chat with my good friend Casey Parker, which of course meant we were going to talk about some evidence based medicine. I will go back to not doing academic work for a while, but for now here is that hit […]
Since publishing my 5 part series illustrating that stress tests are useless (also available as an EM Cases Journal Jam Episode and on EM:RAP), I have received a number of requests to review coronary CT angiography (CCTA). After all, stress testing is old technology. CCTA is newer and therefore obviously […]
There is no perfect study of stress testing. There are no RCTs of stress testing in emergency department patients, so we cannot say with certainty whether they help or hurt. The studies describing test characteristics are also imperfect. Partly, that is because people try to use stress tests to identify […]
Another month and another batch of articles to keep your practice informed. As always, I have no specific selection criteria. These are all just papers that I found interesting. I am always happy to receive suggestions if you encounter a paper that makes you think. And, of course, make sure […]