Myocardial infarction should be considered a critical event in emergency medicine protocols.

“I can honestly tell you Dave never once knew what their cholesterol levels were when someone comes in the ER with chest pain I care about the advanced cardiac life support algorithm which involves oxygen which involves an EKG which involves troponin which involves morphine aspirin and potentially a trip to the cath lab but we are in no where in that algorithm are we asking what's their LDL and letting that help us think is this indigestion versus other things so I I do take issue with calling mi a soft outcome”