Or worse!
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Simon
Simon Carley
SpR in Emergency Medicine
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Evidence based emergency medicine
http://www.bestbets.org
----- Original Message -----
From: "Andrew Webster" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 17, 2002 5:35 PM
> I thought trop T was only around 66% sensitive at 6 hours so 90minutes??
> Also do most of the studies looking at prognosis in non St elevation
> Acute coronary syndromes look at a 12 hour level
>
> Andy Webster
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Brown, Ruth
> Sent: 17 October 2002 15:52
> To: [log in to unmask]
> Subject:
>
> 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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