How seriously should we take ST depression when the patient is now pain-free? This hypothetical cardiology case explores dynamic ECG changes, serial troponin results and clinical context, then reviews the 2012 evidence on when patients with NSTEMI should undergo coronary intervention.
Cardiology Case 02: ST depression, no rush? St.Emlyn’s Read More
How do you act on an ECG suggesting STEMI when the rest of the presentation does not fit? This hypothetical cardiology case from 2012 combines altered consciousness, abdominal findings and no chest pain to explore competing diagnoses, bleeding risk and the urgency of reperfusion.
What happens to patients who leave before being seen? This 2012 journal club examines a service that reviewed their records and recalled selected patients, considering the serious illness found alongside missing follow-up data, uncertain outcomes and the tension between clinical responsibility and patient autonomy.
The ‘Did Not Wait Patient Management Strategy’ Study Read More
How reassuring are a mild presentation and an initially normal scan after head injury in someone taking warfarin? This 2012 review examines the limitations of decision rules, evidence on delayed bleeding and the uncertainty then surrounding observation and repeat imaging.
Minor Head Injury and Anticoagulants -You Snooze, You Ooze Read More
Does introducing a risk score genuinely reduce admissions and resource use? This 2012 follow-up appraisal of the Glasgow Blatchford Score examines selection bias, missing follow-up and the lack of a control group, explaining why a promising service evaluation can still leave important questions unanswered.
Glasgow Blatchford Score 2 – The case for an RCT! Read More
Who with chest pain needs investigation for acute coronary syndrome? Rick Body’s 2012 discussion examines what symptoms and signs can—and cannot—tell us, challenges reliance on labels such as ‘atypical’, and explores the tension between avoiding missed diagnoses and reducing unnecessary admissions.
Acute Coronary Syndrome – Deciding Who To Investigate Read More
