I was posting a reply on another thread and thought this might be a helpful idea for a new thread. The reply was something a cardiologist told several of us nurses twenty years ago. Standing at the CCU bedside, the doc asked, "what do you see wrong with this patient?" We all looked and really tried to find something amiss. The patient was awake and alert. We didn't see anything out of order. The doc said "Look at his face, especially his forehead (hairline). He is perspiring. It is not normal to perspire in an air-conditioned building. Anytime you see a patient who is indoors and perspiring, they are ill and you should suspect cardiac involvement. Although this patient denies chest pain, he is having an M.I. You are witnessing an M.I. in progress." This simple lesson has been very beneficial to me and to a lot of my patients over the years. They do not have to be soakin wet diaphoretic...which would be kinda obvious. If your patient is sitting or lying with beads of perspiration--- re-assess! I'd love to hear your helpful hints...one of my resolutions for 2002 is to be a more knowledgeable nurse by 2003. And where better to learn and share than on this BB?