A. Panelist Qualification:

I am a board-certified emergency physician, licensed in the state of Texas. I have been in practice for over 12 years. My clinical experience involves frequent evaluation and management of patients with acute chest pain in the ED.

B. Issues:

164.051(a)(6) Practice inconsistent with public health and welfare. It is alleged that the Respondent failed to manage the patient appropriately, resulting in a myocardial infarction and cardiac arrest.

C. Materials Reviewed:

1. Tab 4. Respondent’s MPQ
2. Tab 5. Respondent’s response, dated 11-12-08
3. Tab 6. Central City Hospital Emergency Department Record 1st visit, 7-4-08
4. Tab 7. Central City Hospital Emergency Department Record 2nd visit, 7-4-08
5. Tab 8. Central City Hospital Admission Record, 7-4-08

D. Academic Materials:

American College of Emergency Service Physicians, Consensus Statement on Chest Pain Evaluation and Disposition, Annals of Emergency Medicine, July 2007, pages 1-21.