On the house

Plenty in this week's journal for accident and emergency departments and those who refer people there. Patients with suspected myocardial infarction make up a sizeable proportion of emergency admissions, yet fewer than half will have high risk coronary heart disease. Could these “Chest pain”—please admit's be safely referred to a rapid assessmentchest pain service instead? Cohort studies have been promising; now what is needed is a randomised controlled trial say Simon Capewell and John McMurray in their editorial (p 951). …