The 2015 ProMISe trial compared early goal-directed therapy with usual care for patients with septic shock in UK hospitals. This appraisal examines mortality, treatment overlap and patient selection, asking what the findings added to ARISE and ProCESS and which questions about individualised care remained unresolved.
The ProMISe Study: EGDT RIP? Read More
Could an automated blood test make the original MACS chest pain rule practical to use? This 2015 research update explains validation with a new heart-type fatty acid binding protein assay, how the rule was recalibrated and why testing its effects in clinical practice was the next step.
The MACS rule: a new user-friendly version Read More
Rick Body and Kerstin de Wit introduce the drugs then known as novel oral anticoagulants in this 2015 podcast. The first part explores how they work, their place alongside older treatments, prescribing considerations and monitoring, capturing the questions surrounding their early adoption in emergency practice.
Get the NOAC Knowhow: Novel Oral Anticoagulants Part 1 Read More
Does more severe chest pain make a heart attack more likely? Rick Body describes a 2014 study of emergency department patients, showing the difference between a statistically significant association and a useful diagnostic test, and why mild discomfort alone cannot provide reassurance about the underlying cause.
Is severe chest pain more likely to be a heart attack? Read More
An archived invitation to the Manchester Medical Society’s November 2014 evening on social media in emergency medicine. Simon Carley, Rick Body and Natalie May planned talks on education, research and everyday clinical practice, with a live stream intended to include colleagues beyond Manchester.
Simon, Rick and Natalie LIVE at Manchester Medical Society! Read More
An archived announcement of St Emlyn’s 2014 Manchester Medical Society event on social media and medical education. Rick Body introduces the team’s planned discussion of why the blog was created, what online sharing contributes to emergency medicine and how colleagues could become involved.
#MedEd: The Future’s Bright. The Future’s #Social Read More
Why become involved in emergency medicine research? Rick Body shares his talk from DGINA 2014 in Nuremberg, describing his unexpected route into an academic career and the value of building a stronger evidence base for emergency care, with links to research discussed in the presentation.
The Challenge and Value of Research in Emergency Medicine: at DGINA 2014 Read More
Rick Body examines NICE’s 2014 recommendations on high-sensitivity troponin testing for early exclusion of NSTEMI. The article and podcast explain the guidance’s limited assay-specific scope, the distinction between excluding infarction and deciding on discharge, and the practical challenge of fitting repeat testing into emergency department workflows.
New NICE high sensitivity troponin guidance: 3 hours and done? Read More
