Zachary D.W. Dezman, MD, and Amal Mattu, MD, with Richard Body, MB ChB, PhD, Manchester Royal Infirmary, UK, published the article titled “Utility of the History and Physical Examination in the Detection of Acute Coronary Syndromes in Emergency Department Patients,” in the June issue of the Western Journal of Emergency Medicine (18[4]:752-760). Through a literature review, they evaluated whether atypical symptoms and "classic" symptoms can be used to reliably rule in or rule out the diagnosis of acute coronary syndrome and whether further testing is necessary at all.