Equipoise medicine

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2. Does the morbiditiy and mortality assocaited with a miss of a % of PEs = % of patients with acute coronary syndrome. More specificcally, since we know STEMIs have bad outcomes – does % of missed PEs = % of missed NSTEMI/UA??? I’d imagine a small PE doesn’t likely cause much morbidity or mortality in patients (ie the PEs that PERC likely misses). However, does a missed NSTEMI/UA cause significant morbidity and mortality? I don’t know that answer, but I rememeber listening to Dr Newman in EM-RAP talking about the cochrane review on heparin for NSTEMI that did not show much difference between risks and benefits? Moreover, is medical mgmt what these patient’s really need or does heparin followed by stents really offer these patients much benefit? That brings me back to #1. If the adverse events were missed NSTEMI or UA,and studies have shown that inpt hospital mgmt doesn’t change outcomes, then I’m starting to use this ASPECT trial tomorrow.

Equipoise medicine

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