Thought this was a great little post regarding Coagulation studies in chest pain patients. Not sure how often its getting routinely obtained on our CP patients @ UofL but at Norton they get it on almost every chest pain patient that rolls through the door.
We’ve reduced the amount of coag studies we’re getting on our routine trauma patients, probably about time we make sure we’re doing the same in our low-risk chest pain patients.
Room9er ["Room Niner"]:
The sickest patients, who receive world-class care in the trauma/critical care bay of University of Louisville Department of Emergency Medicine
![Room9er ["Room Niner"]:](https://room9er.com/wp-content/uploads/2020/03/cropped-Screen-Shot-2020-03-08-at-3.16.16-PM.png)
I’m not currently doing this? But I agree it seems unnecessary.
Even if/when I decide to start the Heparin I think I had one nurse ask me if I wanted to bolus and start prior to having baseline coags and maybe I’m naive about why you wouldn’t in an NSTEMI but I said yes just go for it and we can adjust it later appropriately. Not too worried about the ptt getting too high too early so definitely why order them routinely?
The only time I order coags is in the anticoagulated patient, and then I ONLY GET THE INR. There is of course evidence in the hemorrhagic trauma patient as well. If I end up heparinizing a chest pain patient Ill allow the obligatory testing. Really is an overused test, huge waste in most patients.