Which patients with chest pain actually need a troponin? Rick Body looks at how much we can trust the history, cardiovascular risk factors and our own clinical judgement before deciding to test.
Which patients with chest pain need a troponin test? Read More
The Resuscitator sessions. Back in February I attended ‘The Big Sick’ conference in Zermatt. I’ve been several times and talked about it a lot here and on the podcast. It
Before ECPR: Optimising Shockable Cardiac Arrest at The Big Sick. Read More
Significant pelvic fractures can cause life-threatening haemorrhage. Recognise that risk early, but don’t assume the pelvis is the only source of bleeding. Management often requires input from emergency medicine, orthopaedics,
TTL tips 20: Significant Pelvic Fracture management Read More
Many years ago, when I was working as a registrar in Emergency Medicine and starting my PhD, my supervisor (a social scientist) got me to think about the assumptions I
We see a lot of patients with mechanisms of injury and/or clinical signs that suggest a spinal column injury. Should you image the whole spine or just the areas that
TTL tips 19: Find one spinal injury – look for another. Read More
Syncope is one of those presentations that can be both straightforward and remarkably difficult. In many patients the history gives us a pretty convincing diagnosis of vasovagal or orthostatic syncope,
ASPIRED: Ambulatory ECG Monitoring After Unexplained Syncope Read More
Manual pressure augmentation reduces transthoracic impedance during defibrillation, but does that translate into better outcomes? We review the AUGMENT-VA randomised trial and revisit our previous BestBET on this intervention.
Next April, the RCEM Annual Conference comes to Manchester, and I’d really like to encourage colleagues from across the UK, and especially our friends and colleagues from around the world, to come and join us.
RCEM Manchester 2027: Come and join us Read More
