emergency medicine at NCEMI Emergency Medicine Resources
at the National Center for
Emergency Medicine Informatics

Craig Feied, MD  
Mark Smith, MD  
Jon Handler, MD
Mike Gillam, MD

Emergency Medicine Resources at the National Center for Emergency Medicine Informatics -- offering clinical calculators, tools, and reference materials for clinical emergency medicine, medical education, medical research, and ER management, as well as many other emergency medicine resources.

What is the Goldman algorithm for myocardial infarction probability?


The Goldman algorithm is a tool to predict the likelihood that a patient has a myocardial infarction. It utilizes clinical information as well as findings on an EKG to determine a percentage likelihood that a given patient has had or is having a myocardial infarction.

When studied, this tool was about as sensitive, but more specific than clinicians for predicting myocardial infarction.

Naturally, this tool does not replace clinical judgement, but serves as an aid in decision-making.


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Copyright 1998 by Jonathan A. Handler, MD, Craig F. Feied, MD, and NCEMI
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