Sam Fitzsimmons joins a two-part podcast on adults with congenital heart disease in the emergency department. The accompanying notes explore Fontan circulation, Eisenmenger syndrome, transposition of the great arteries and aortic coarctation, focusing on presentations and complications that non-specialists may encounter.
Could carotid ultrasound make pulse checks more reliable? Natalie May examines a proof-of-concept study using recordings from patients undergoing cardiac surgery, and explains why interpreting those images is a different challenge from obtaining and using them during a real cardiac arrest.
Can an undetectable high-sensitivity troponin, a non-ischaemic ECG and clinical assessment speed safe discharge for chest pain? This 2020 LoDED trial appraisal examines its inconclusive primary comparison, variation in usual care and the limits of the safety data, keeping clinical judgement central.
How should clinicians interpret a raised troponin when COVID-19 is also possible? This April 2020 review explores myocardial injury, myocarditis and acute coronary syndromes, emphasising the clinical history, ECG and alternative diagnoses rather than assuming every cardiac presentation is caused by the virus.
Rick Body looks back at a decade of change in emergency diagnostics, from high-sensitivity troponin to decision aids and more individualised estimates of risk. Written as 2020 began, the review also considers where artificial intelligence, point-of-care testing and remote healthcare might take the next decade.
What does cardiac movement on ultrasound mean when no pulse can be felt? This 2019 review explores pseudo-PEA, its distinction from cardiac standstill and reported outcomes, while highlighting the limited evidence for proposed treatment changes and the need for further research.
Practical perspectives on trauma care and team leadership.
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