Results for: pulmonary embolus

We call it massiiiiiiivve. PE at St Emlyn’s

I have been asked to talk about the diagnosis of massive PE for the upcoming EUSEM congress in Glasgow this month. We have blogged on this before1, but it’s a thorny issue and one that

JC: Is this the REASON to use USS in cardiac arrest? St.Emlyn’s

This month the emergency department point of care ultrasound in out-of-hospital and in-ED cardiac arrest trial from the REASON1 trial is published in the journal Resuscitation. This has been rumoured for some time in the

Thrombolysis in PE – Building a talk for SMACC.

  There’s an intoxicating combination of excitement and fear when you get an email asking you to speak at SMACC. You know that the standard demanded is exceptionally high, but there is a thrill that

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Trouble – Chest Pain in the ED

Chest pain is the archetypal ED presentation: one which presents frequently and usually has a benign cause, but could, just could, be the result of life threatening pathology. As Emergency Physicians we must look after

JC: POCUS for the breathless patient. St.Emlyn’s

This might be the paper (or perhaps the first of many papers) that I’ve been waiting for. Like many colleagues in the #FOAMed world I’m a big fan of point of care ultrasound (POCUS) in

JC: Triple Rule Out CT – are the rays worth it? St.Emlyn’s

I was glad to see this article published as triple rule out CT for chest pain has been a topic that I’ve heard a little about, but personally it’s not something I use. This troubles

St.Emlyn's

Emergency Medicine: A risky business Part 4

Welcome back to the 4th part of the series looking at understanding risk and diagnosis in Emergency Medicine. In part 3 we looked at how tests with apparently high sensitivities (e.g. 98% sensitivities) actually mean

JC Are we doing too many CTPAs? St.Emlyn’s

Well! I go away for 1 week to Devon to spend time with the family and to visit the holiday haunts of Agatha Christie and what do you know? JC descends into another discussion about

JC: Prevalence of PE in patients with syncope. St.Emlyn’s

There is a bit of a buzz on social media at the moment1 about an interesting paper in the NEJM2 on the prevalence of PE in patients with syncope3. We’re all familiar with the controversies

Ambulatory PE: A walk in the park? St.Emlyn’s

  What’s your weapon of choice then??? There have been a lot of developments within the last 10 years regarding our clinical approach to the patient with suspected pulmonary embolism. Arguably, there has been a

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