Overtesting, the downstream consequences of overdiagnosis, and overtreatment of some
patients are topics of growing debate within emergency medicine (EM). The “Preventing …

Medications such as Vioxx and procedures such as vertebroplasty for back pain are among
the medical" advances" that turned out to be dangerous or useless. What Dr. Vinayak K …

We use machine learning as a tool to study decision making, focusing specifically on how
physicians diagnose heart attack. An algorithmic model of a patient's probability of heart …

Objectives: We sought to characterise the demographics, length of admission, final
diagnoses, long‐term outcome and costs associated with the population who presented to …

Management of patients with acute chest pain remains challenging. Cardiac biomarker
testing reduces the likelihood of erroneously discharging patients with acute myocardial …

Importance The incremental benefit of noninvasive testing in addition to clinical evaluation
(history, physical examination, an electrocardiogram [ECG], and biomarker assessment) vs …

Importance Noninvasive testing and coronary angiography are used to evaluate patients
who present to the emergency department (ED) with chest pain, but their effects on …

Background: Wide variation exists for hospital admission rates for the evaluation of possible
acute coronary syndrome, but there are limited data on physician-level variation. Our aim is …

Importance Professional guidelines recommend noninvasive cardiac testing (NIT) within 72
hours of an emergency department (ED) evaluation for suspected acute coronary syndrome …

Objectives: The emergency department evaluation for suspected acute coronary syndrome
(ACS) is common, costly, and challenging. Risk scores may help standardize clinical care …