TY - JOUR T1 - Clinical judgment is not passé when it comes to identifying patients with acute myocardial infarction JF - Evidence Based Medicine JO - Evid Based Med SP - 117 LP - 117 DO - 10.1136/ebmed-2016-110387 VL - 21 IS - 3 AU - Erik P Hess Y1 - 2016/06/01 UR - http://ebm.bmj.com/content/21/3/117.abstract N2 - Commentary on: Carlton EW, Than M, Cullen L, et al. ‘Chest pain typicality’ in suspected acute coronary syndromes and the impact of clinical experience. Am J Med 2015;128:1109–16.e2.OpenUrlCrossRefPubMedChest pain is the second most common reason patients visit emergency departments (EDs), and substantial healthcare resources are expended in its evaluation and management.1 Accurately identifying patients with acute coronary syndrome (ACS) is an ongoing diagnostic challenge, and much past and ongoing research is being conducted in this area. Several contemporary risk scores have been developed to predict ACS risk in ED patients with undifferentiated chest pain, and the field is rapidly evolving as new cardiac biomarkers are developed to address the diagnostic challenge. It is in this context—identifying patients at risk for ACS in a cohort of ED patients with non-traumatic chest pain—that … ER -