Emergency medicine Australasia : EMA
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The ethical use of college membership in the statement of political opinion.
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Emerg Med Australas · Feb 2018
Observational StudyModification of the Thrombolysis in Myocardial Infarction risk score for patients presenting with chest pain to the emergency department.
To develop a modified Thrombolysis in Myocardial Infarction (TIMI) score to effectively risk stratify patients presenting to the ED with chest pain. ⋯ Attempts to modify the TIMI score yielded two scores with added predictive utility in comparison to the original TIMI model. The addition of GRACE variables (g-TIMI) increased sensitivity for MACE, but decreased the specificity of the model. The s-TIMI score yielded good specificity but had sensitivity that would not be acceptable by emergency physicians. The s-TIMI may be useful as part of an accelerated chest pain protocol.