Goldman Algorithm for Chest Pain The history of cardiac care had it's turning point in 2001 when the Goldman's Algorithm was first adopted by a hospital called Cook County in Chicago. What happened that led to this breakthrough? The churning began a few years earlier in 1995 . Cook County was the city’s principal public hospital and famous for harbouring the world’s first blood bank. Also for being the place where cobalt-beam therapy had been pioneered. Of late, however, the hospital was in a mess. With cavernous wards with no air conditioning, no private room, telephone or cafeteria, with bells ringing all the while due to understaffed nurses, with noisy private TVs and radios of overcrowded patients, it was a crazy place desperately in need of a haul up. There was another problem. There were 2.5 lakh emergency patients complaining of chest pain in a year. But only 10% of the patients admitted into the cardiac care were true cases. In the summer of 1995 , the hospital g...
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