“New admission for NSTEMI. Please call the ER.” My eyebrows furrowed as I looked at my pager. It was shaping up to be a busy call day. I glanced through my new patient’s medical record and called the emergency department physician. It seemed straightforward: a 77-year-old man with a history of coronary artery disease was presenting with nausea, chest discomfort, and a new troponin elevation of 12.0 ng/mL. A familiar protocol of serial laboratory tests, ECGs, and medications—drilled in to me by my years of training—was the next step in his care. I still remember how I framed this gentleman as a “bread and butter ACS case” (acute coronary syndrome) to my intern as we went to evaluate him.
Kumar A, Allaudeen N. To Cure Sometimes, to Relieve Often, to Comfort Always. JAMA Intern Med. 2016;176(6):731-732. doi:10.1001/jamainternmed.2016.1220