timely, convenient and sensitive: is point of care troponin testing the future?
TRANSCRIPT
Timely, Convenient and Sensitive
Is point of care troponin testing the future?
• 3 hours
Patient arrivesin the ED: T0 Blood taken
30-45 min
ECG10 min
Triage15 min
3h test3h 30 - 3h 45
Result 12h 30
Result 2:5h 30 - 5h 45
4h
3 h t ro po n i n : T i me l i n e
Proportion discharged with LoD strategy
• 17% (Body, Clin Chem)• 37% (Body, Acad EM)• 19% (Carlton, JAMA Cardiol)
• And NICE recommends only discharge those with TIMI 0-2 – actual admissions avoided will be few