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Physicians: .25 AMA PRA Category I CreditsTM
To Receive Credit
In order to receive your certificate of participation, you should read the information about this activity, including the disclosure statements, review the entire activity, take the post-test, and complete the evaluation form. You may then follow the directions to print your certificate of participation. To begin, click the CME icon above.
Upon successful completion of this educational program, the reader should be able to:
Alan Ehrlich, MD
Dr. Ehrlich, Dr. Fleming, DynaMed Editorial Team members, and the staff of Antidote Education Company have disclosed that they have no relevant financial relationships or conflicts of interest with commercial interests related directly or indirectly to this educational activity.
ACCME: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Antidote Education Company and EBSCO Publishing. Antidote is accredited by the ACCME to provide continuing medical education for physicians. Antidote Education Company designates this enduring activity for a maximum of 0.25 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Last week 475 journal articles were evaluated via DynaMed's Systematic Literature Surveillance and summaries of 194 articles were added to DynaMed content.
A Single Negative Cardiac Troponin Level in Conjunction With Electrocardiogram Data and Clinical Judgment May Safely Rule Out Acute Myocardial Infarction in Patients Presenting to the Emergency Department With Suspected Cardiac Chest Pain
Myocardial infarction is a major cause of death and disability worldwide, but identifying myocardial infarction upon presentation to the emergency department can be difficult. Chest pain may result from many widely varying etiologies, ranging from cardiovascular disease to gastrointestinal disease to infection, and many patients with acute coronary syndrome present with atypical symptoms (Resuscitation 2010 Mar;81(3):281). Early exclusion of an acute coronary syndrome in patients presenting to the emergency department could avoid unnecessary and costly hospital admissions, but signs and symptoms alone have not been found to be sufficient to diagnose or rule out acute myocardial infarction (Br J Gen Pract 2008 Feb;58(547):105 and JAMA 2005 Nov 23-30;294(20):2623). A recent study from the United Kingdom investigated the ability of clinical judgment in combination with electrocardiographic (ECG) and cardiac troponin T data to safely rule out acute myocardial infarction in 458 patients (mean age 64 years and 59% men) presenting to the emergency department with suspected cardiac chest pain.
The DynaMed editorial team is seeking specialist editors in the following fields: ENT, Gastroenterology, Hematology, Ophthalmology, Orthopedics, and Vascular.
PEMSoft Now Available For iPhone, iPad, and Android Devices
The PEMSoft Mobile app, a pediatric evidence-based point-of-care medical reference tool for hospitals, emergency departments, clinics, pediatric group practices, transport services, and medical schools, is now available from EBSCOHealth. Designed by pediatricians, emergency physicians and other medical specialists, the vast content in PEMSoft addresses the entire spectrum of neonatal, infant, child, adolescent and young adult health. PEMSoft authors adhere to a strict evidence-based editorial policy focused on systematic identification, evaluation and consolidation of practice-changing clinical literature.
DynaMed Contribution Opportunities
Call for Peer Reviews
We are currently seeking subspecialty reviewers for our Patient Education Resource Center (PERC). PERC provides fact sheets and discharge instructions for patients leaving the hospital or emergency room. These hand-outs fulfill the meaningful use requirements for the Medicare & Medicare Services Incentive Programs.