Jason Kendall gave an interesting presentation about these papers at the
recent CHD Collaborative meeting in London. He made the point that it is
important to look at the pain to presentation times of this (and another
couple of similar papers) The pain to presentation times are all longer than
4 hours. His, my, and most people's local experience at the meeting felt
that our patients present earlier than that. Our median time is 160 minutes.
This make the results in Ng and co less convincing as a strategy we would
want to use in our hospital
Katherine
----- Original Message -----
From: "Brown, Ruth" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 17, 2002 3:52 PM
> A question about the use of Troponins
> Has anyone taken up the protocol suggested by Ng (Ng Siu Ming-AmJ Cardiol
> 2001 88-661-617 Pathway for Chest P.doc) where they suggest that troponins
> at 90 minutes will help send chest pains home safely. Our cardiologists
are
> very sceptical on the basis that very few patients were included in whom
it
> wasn't already clear it was not cardiac and the ones that troponin was
used
> on were very few. However, our Public Health colleagues are pressing us to
> use this, via our Chief Exec to solve the 4 hour problem!!!
> Any comments?
> I have a scanned version of the paper if anyone wants it but very large so
> contact off list.
> thanks Ruth
>
> Ruth Brown
> Consultant in Emergency Medicine
> 0207 886 6574
>
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