Like most emergency physicians, I am much more comfortable taking care of adults than children. This is simply because of the generally low number of very sick children we see. This is doubly so for neonates. One common chief complaint during the neonatal period is excessive spitti
Our assay sensitivity for troponin has significantly increased, which lowers its specificity. While measurement of troponin levels are a very routine test in acute presentations, a good differential beyond acute coronary syndrome is necessary.