Certainly a great reminder to make sure every history is well done and well documented! Not only for patient care but for legal protection. Really well done thank you for sharing!
Love Dr. Mattu. SOCRATES is good as well. S-ite O-nset C-haracter R-adiation A-ssociated symptoms T-ime at onset (morning/evening/variation/associated with activity) E-xacerbating/Relieving factors S-everity (x/10)
there's only four that have the highest predictive value for ruling in for acs so what we've done is we've taken these four and we use these four in our 14 hospital network around the state of maryland what are the four factors that have the highest predictive value for ruling in for acs - chest pain plus diaphoresis - chest pain that worsens with exertion - chest pain that radiates and by the way bilateral radiation is the worst of all followed by radiation to the right side least concerning is radiation to the left side all right but we don't complicate things we just say if it radiates in either direction all right and then - chest pain with vomiting not nausea but vomiting the descriptors tightness squeezing pressure they've all been shown to be non-specific associated shortness of breath has been shown to be non-specific associated nausea or lightheadedness non-specific ------- the only four that have the highest predictive value are - chest pain with diaphrasis ? - chest pain with vomiting ? - chest pain that worsens with exertion ? - chest pain that radiates in either direction ?
Is it possible for the onset of MI to be while sitting still ? Yes While running. Yes. While defecating Yes. While having sex. Yes. Then why waste your time charting the onset ? It makes no difference.
Facile analysis. Getting a history from a patient is fraught with delay , misinformation, frustration. Especially when in;pain Add 15 minutes to the interaction. Who is going to pay for this?
Listen up dummy If the onset of MI can be asleep , exercising , eating , having sex or anything else , getting a good history of onset doesn’t rule in or rule out MI Then why bother.
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I love Dr Mattu.
Certainly a great reminder to make sure every history is well done and well documented! Not only for patient care but for legal protection. Really well done thank you for sharing!
Love Dr. Mattu. SOCRATES is good as well.
S-ite
O-nset
C-haracter
R-adiation
A-ssociated symptoms
T-ime at onset (morning/evening/variation/associated with activity)
E-xacerbating/Relieving factors
S-everity (x/10)
Dr Mattu, you are a true master ! I really love your videaos. thank you so much for sharing
Dr Mattu
Thank you for sharing your knowledge and experience.
Vishal Maharaj
Physician
When I was a resident, an attending once told me if you order an EKG, you have to order a troponin as well. He wasn't very good.
Nice work. .............
Amazing lecture 🌹
Wonderful presentation!
Interested and Scary!
Scary lecture... admit everyone w a chest
there's only four that have the highest predictive value for ruling in for acs so what we've done is we've taken these four and we use these four in our 14 hospital network around the state of maryland what are the four factors that have the highest predictive value
for ruling in for acs
- chest pain plus diaphoresis
- chest pain that worsens with exertion
- chest pain that radiates and by the way bilateral radiation is the worst of all followed by radiation to the right side least concerning is radiation to the left side all right but we don't complicate things we just say if it radiates in either direction all right
and then
- chest pain with vomiting not nausea but vomiting the descriptors tightness squeezing pressure they've all been shown to be non-specific associated shortness of breath has been shown to be non-specific associated nausea or lightheadedness non-specific
-------
the only four that have the highest predictive value are
- chest pain with diaphrasis ?
- chest pain with vomiting ?
- chest pain that worsens with exertion ?
- chest pain that radiates in either direction ?
Is it possible for the onset of MI to be while sitting still ? Yes While running. Yes. While defecating Yes. While having sex. Yes. Then why waste your time charting the onset ? It makes no difference.
Facile analysis. Getting a history from a patient is fraught with delay , misinformation, frustration. Especially when in;pain Add 15 minutes to the interaction. Who is going to pay for this?
Maybe you aren't good at obtaining a history.
Listen up dummy If the onset of MI can be asleep , exercising , eating , having sex or anything else , getting a good history of onset doesn’t rule in or rule out MI Then why bother.