Users' guides to the medical literature: XIV. How to decide on the applicability of clinical trial results to your patient. Evidence-Based Medicine Working Group.

  title={Users' guides to the medical literature: XIV. How to decide on the applicability of clinical trial results to your patient. Evidence-Based Medicine Working Group.},
  author={Antonio Miguel L. Dans and Leonila F Dans and Gordon H. Guyatt and Scott J. Richardson},
  volume={279 7},
You are the attending physician on duty when a poor, 45-year-old man presents to the emergency department of a general hospital in the Philippines. He has severe chest pain for 2 hours, associated with clammy perspiration. Physical examination reveals a blood pressure of 110/70 mm Hg, a pulse rate of 92 beats per minute, a normal first heart sound, and clear lungs. An electrocardiogram discloses 3-mm ST-segment elevation in the inferior leads. As intravenous lines are placed, and the patient is… 

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