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Evaluation and Risk Stratification of Patients with Acute Chest Pain (1 credit Video)

Hours: 1.00

Target Audience: Physicians in emergency medicine, internal medicine, family and general practice, cardiologists and all clinicians who may evaluate adult patients presenting with chest pain in the office, hospital or ED setting.

Original Release Date: October 2, 2014
Review Date:
Expiration Date:  October 2, 2017

Description: Chest pain is the second most common presenting complaint in the ED accounting for 6 million visits in the US annually. Of those patients discharged to home, about 4% become cases of missed diagnosis of acute coronary syndrome. This rate can be reduced by making Risk Stratification the primary objective in evaluation. Dr. David Larson explains this method, reviewing the historic and most current evidence. He identifies the red herrings, draws attention to those types of patients most at risk for a missed diagnosis, and presents new data on interpreting lab results. He makes the case for the development and implementation of chest pain protocols to standardize the care of chest pain patients.

Learning Objectives: Upon completion, participants should be able to
1)    Identify 3 components of the H&P commonly thought to rule out ACS and explain why they
       are not to be relied upon.
2)    Describe primary and secondary risk stratification in the evaluation of patients presenting
       with chest pain.
3)    Describe the latest developments in the use of lab testing for chest pain patients.
4)    Create a chest pain protocol based on risk stratification for patients in your institution.

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 7 out of 10 correct answers.

Estimated time to complete activity: 1 hour

Method and Medium: To obtain CME credit, view the entire online presentation, complete the evaluation and post test and print your certificate online.

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

CME Credit: 1.0


MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, ' . $this->title . ' has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Family Medicine
  • American Board of Physical Medicine and Rehabilitation



State Requirements:
Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Florida -  This activity includes content in Preventing Medical Errors
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy - Read

Disclosure Statement: The speaker, editors and planning committee members for this activity have no relevant financial relationships to disclose.

About the Speaker: David M. Larson, MD, FACEP - Read Bio

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2014

Bibliography: To view and download a Bibliography for this presentation, please select the References button below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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