1. there are no curbside consults to fellows for potential acute mi cases. if there is any suspicion, any suspicion, call amac to activate the system, ie: 7 am to 10 pm m-f amac calls directly to the cath lab; after 10 pm amac calls the cath attending cell phone.
2. if you have a patient with an acute mi, call amac to activate the system, ie: 7 am to 10 pm m-f amac calls directly to the cath lab; after 10 pm amac calls the cath attending cell phone
3. if you want to directly call the cath lab, thats ok, but also let amac do their thing
4. for acute mi, conversation with the cath attending should be ed attending (preferred) or senior resident to the cath attending – no junior resident nor intern should be presenting to the cath attending – one more time – conversation with the cath attending should be ed attending (preferred) or senior resident to the cath attending – no junior resident or intern should be presenting to the cath attending
5. if you have a nonacute cardiac patient and need to discuss with eps ccu or cath fellow, call amac and be explicit exactly who you want – this is only for nonemergent patients. if amac has not idea who is on, tell them to go to “amion” and on the far right click on “amion” and then password is “mscardio”
6. when you call an attending for an admission please make sure you have a clear concise assessment and plan
If you have a patient that is appropriate for the CT STAT study- Aileen is off for the next 2 weeks so please page Dr. Harry Gluck at 7531 for enrollment instead.
Luke Hermann
From: “Hermann, Luke” <Luke.Hermann@mountsinai.org>
Date: August 15, 2008 10:20:46 AM EDT
Subject: [Emfaculty] Need help with CT-STAT study
Hello all,
A short plea to remember the CT-STAT Study for your potential ACS patients (we are an enrolling site but thus far have put very few patients into the study):
The basics:
What: Compare CT coronary angiography with nuclear stress testing
Who: patients with
– possible ACS
– sinus rhythm without clear ischemic changes
– normal creatinine
– no history of CAD
How: Page Aileen at 6780- she will evaluate the patient, consent the patient, and facilitate the appropriate test. Aileen will also be rounding in the AM on CPU patients and if she enrolls a patient may ask you to change the ordered imaging study.
I’ve placed more information in the resident room and in the ED. Any questions? Don’t hesitate to ask.
Thanks in advance,
Luke
