- #Dr peacock baylor college of medicine email how to
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The change is coming, we have just got to figure out how to do it smoothly. There will be an education period and probably some of them will get consulted and become a part of that education, but this would only last for a few months. Cardiologists don't need to be in the loop for every single elevated troponin, that is clear. Now that it is not just an MI marker, you need to use your brain. When troponin was only an MI marker, we consulted cardiology for every elevated troponin. Q: Some cardiologists are concerned that this will increase the number of unnecessary consultations, what are your thoughts on this?įP: This again comes down to education. So there has to be extensive education on the cut point, and it has to be for your specific assay because every troponin I assay has a different cut point series. You can really mess up when you switch from contemporary to high-sensitivity, and this is often due to the cut point. There is no data that either one of those methods is superior to the other the key is that both of them require a tremendous amount of education. This is a decision that is made by the institution. The advantage of this is in areas where high-sensitivity troponin or any troponin testing doesn’t occur very often, it allows a smoother transition, whereas in places with lots of high-sensitivity troponins, such as the emergency room and the cardiology department, the transition will occur very quickly. The second way is to change it slowly, having a period where you run both contemporary and high-sensitivity results. I'm a little concerned by this method because it allows the opportunity for error, but you're done in two weeks. The first is to just rip off the band-aid someday and change everything. Q: What is important for clinicians to consider when switching to high-sensitivity troponin, to avoid any confusion?įP: There are two schools of thought on making the switch. credits from the ASCLS and/or ACCENT credits from the AACC.
#Dr peacock baylor college of medicine email free
You can also register free for part two: Time: The most precious resource, which will run Thursday, March 18, at 16:00 GMT/ 17:00 CET / 8:00 PST / 11:00 EDT.Īttendees to both events are entitled to P.A.C.E. Think you’d benefit from this webinar but missed it? You can now watch it on demand at any time that suits you and read on for highlights from the Q&A session. Frank Peacock, emergency physician, professor of emergency medicine, and vice chair for research at Baylor College of Medicine, reviews the utilization of high-sensitivity troponin assays in the assessment of ACS, including the advantages of high-sensitivity troponin over contemporary assays and its impact on the management of patients presenting in the emergency department (ED). In part one of this two-part webinar series, Dr. Frank Peacock, MD, FACEP, FACC, FESC, professor, vice chair for research, Baylor College of MedicineĬardiac troponin is a critical biomarker for acute coronary syndromes (ACS).