This chapter is an attempt to find a way to identify well-appearing patients who may soon decompensate. Not the easiest thing… tons of background noise. It is important to note that this chapter does not necessarily recommend extra testing, but a stellar history and consideration of life-threatening conditions.
Here is the funny thing, though I admit these folks also – the truth is if you put $5 down everytime a pateint with cardiac risk factors, chest pain, and sweating was admitted, you would soon go broke. Only a small percent will actually turn out to have an MI. It is easy to imagine how few of the well-appearing will actually turn out to be sick. But when they are sick… you don’t want to miss it!
PDF sneak preview of the chapter: