Tag: CC5

When is a Door Not a Door? Bias, Heuristics & Metacognition

This is an amended version of a talk on metacognition I gave at the Royal North Shore Hospital Grand Round. The clinical scenario has changed but the content remains the same. The purpose of this

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s

On June 15th 2016, I delivered an 8 minute talk arguing that we strongly consider the administration of systemic thrombolytics in patients with submassive pulmonary embolism at SMACCDub. This talk became infamous not for the

JC: Kicking against the prick: Systematic Review of stroke thrombolysis

I think it’s probably fair to say that stroke physicians and emergency physicians disagree about the utility of thrombolysis in acute ischaemic stroke. They love it, probably because of its occasionally amazing effects in restoring

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

It’s a Trap!

Not only do we have to battle with diagnostic uncertainty, a high intensity and stressful environment but we also have to contend with our own minds and the tricks and biases they play on us.

One high sensitivity troponin test to rule out acute myocardial infarction

This month I was honoured that a study I wrote with some terrific colleagues from Europe, Australia and the US has been published as the ‘Editor’s Choice’ in Academic Emergency Medicine. This was a secondary analysis

The Big Questions in Emergency Medicine from SMACC Dublin

The Big Questions in Emergency Medicine. What’s our future? SMACC Dublin

I was thrilled to kick off the EM stream at SMACC Dublin this year with a presentation on the big questions, in other words the strategic future, ofEmergency Medicine. This was an idea we put

Cardiology Case 05: Detective work

  It’s been a while since we shared a cardiology case but here’s a cracker for you. As usual, see our Caveats and Cautions. While these cases are based on our genuine experiences (often pooling several

illusion of frequency stemlyns

The Illusion of Frequency. Baader-Meinhof storm St.Emlyn’s

  Isn’t it strange how the incidence of certain pathologies always seems to increase right after you’ve read up on them? Think about it for a moment. At teaching, someone gives a presentation on aortic

Cliffhangers in the ED. St.Emlyn’s

Bandwidth as a cognitive load in the emergency department. St.Emlyn’s. Meta-cognition.

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