Category: Diagnosis

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

How to prepare your ED for a MERS-CoV outbreak

Following a successful local collaborative Ebola campaign preparation last year, the team at Virchester ED have started preparing for the next outbreak of infectious disease that threatens our quiet shores: the Middle-East Respiratory Syndrome (MERS).

JC: Are typical chest pain symptoms predictive of outcome? St.Emlyn’s

We love a bit of meta-cognition here at St.Emlyn’s. As time passes and we all become a little longer in the tooth it becomes increasingly apparent that it’s not just ‘what’ we know it’s how

The MACS rule: a new user-friendly version

This blog post is based on a paper we’ve just had published in the Emergency Medicine Journal entitled: ‘The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new automated assay for heart-type fatty

JC: What’s the ‘best’ test for a broken chest? St.Emlyn’s

A 45 year old man comes off his motorbike on a country road. He is flagged up as major trauma and gets the full works, including WBCT. This reveals nothing other than 3 undisplaced rib

Is severe chest pain more likely to be a heart attack?

    Have you ever heard this sort of conversation in your ED? Junior ED doc: Can I run my patient by you, please? Senior ED doc: Sure Junior: I  have a 40 year old man with chest

When we are the Diagnostic Test – Gestalt at St Emlyns

There are many reasons why I enjoy being part of the St Emlyn’s team, not least the chance to share ideas and beliefs about EM with some of the most thoughtful physicians I’ve ever met.

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