R.E.B.E.L.EM - September 30, 2019 - By Cara Borelli C
"Authors’ Conclusion: “Clinician gestalt is not sufficiently accurate or safe to either “rule in” or “rule out” ACS as a decision-making strategy. This study will enable emergency physicians to understand the limitations of our clinical judgement.”
Clinical Take Home Point: In this study, clinician gestalt was not safe to rule out ACS; however, further research is necessary to more conclusively determine the sensitivity, specificity, positive predictive value, and negative predictive value of clinical gestalt. Furthermore, this study was fundamentally estimating the risk of a positive second troponin or risk of MACE at 30 days in a population of patients already stratified as having suspected cardiac chest pain."