Background: Patients admitted to our hospital with chest pain concerning for Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that unnecessary stress test orders in some cases may be contributing to this increased length of stay. We hypothesized that implementation of a clinical decision support tool (CDST) would [...]

Case Presentation: A 67-year-old female with hypertension, hyperlipidemia, diabetes, chronic kidney disease, sarcoidosis in remission, and rheumatic fever in childhood, presented to emergency department (ED) with right ear fullness and bloody discharge. During ED evaluation, she was found to have junctional rhythm at 50 beats per minute without evident P-wave, prompting admission for observation and [...]