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  • Every once in a while I would shake my head at the 28-year-old who had a (negative) troponin on the chart. (But doctor, the protocols say everybody above 25 gets a troponin and coags and...) So I thanked the nurses for following the protocols and sent all the chest painers home, except for a couple who had enough risk factors to buy themselves a rule-out.One of the last chest painers I saw was a m
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