Category: Diagnosis
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 …
N2O Laughing Matter
Everyone likes balloons, right? Some people really like balloons, and more specifically the contents of them. Having recently moved to East London, I can’t cycle to work and back (only about 15 minutes or so) without …
I’m all about the Bayes, ’bout the Bayes, no treble
Who knew that the Reverend Thomas Bayes would be such a prominent figure in pop culture?! Ignore the spelling error in the title of the song, we know who she is really singing about. I …
Induction to Emergency Medicine – St Emlyn’s Resources
Over the past few years I am very proud to say that as a team at St Emlyn’s we haven’t just focused on the “sexy” parts of emergency medicine, but our blogs and podcasts have …
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 …
Getting your chest pain evaluation right: #UMECS16
Last week, while Iain was giving a keynote lecture in Austria, I was also heading for distant shores to speak about chest pain evaluation at a special conference set up by the legendary Amal Mattu: …
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 …
Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions
We can be a confused bunch when it comes to sepsis. We have seen definitions, debates and controversies as to how we treat and what we treat. Today a new definition was unleashed on the …
Emergency medicine, a risky business part 7: Risk proximity
Risk proximity is an important concept. In simple terms it just describes the time from an event happening and the risk potentially occuring. It’s not something that we often think about in the emergency department, …
Let’s talk about subarachnoid haemorrhage
subarachnoid management and diagnosis in the emergency department. St.Emlyn’s controversies in the use of CT scanning lumbar puncture LP and medical therapy.