Category: Diagnosis

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:

illusion of frequency stemlyns

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.

CBRN: An Introduction. St Emlyn’s

yb It is a sad reality that in this day and age the world can be uncertain, volatile and dangerous place.  CBRN (chemical, biological, radioactive, nuclear) threats are real, and as Emergency Physicians it is

All you need to know about CHEMSEX but never dared to ask… St.Emlyn’s

CHEMSEX and public health issues for the emergency department and physician.

JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s

As you surely know we love thinking about Troponin at St.Emlyn’s. We have our own world expert in Rick Body and there is loads of stuff here on the site about the use (and abuse)

Taking a sexual history in ED

Emergency physicians often feel that taking a sexual history in EDs is something medical school and specialty training have not prepared them very well for. This comes as no surprise as it differs significantly from


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