Category: Diagnosis

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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Trouble – Chest Pain in the ED

Chest pain is the archetypal ED presentation: one which presents frequently and usually has a benign cause, but could, just could, be the result of life threatening pathology. As Emergency Physicians we must look after

What is Gestalt? St.Emlyn’s

If you’re a #FOAMed fan then you will have come across the term Gestalt quite a lot in recent months. Many conversations about clinical decisions hinge around this elusive, slippery and somewhat obscure term. Perhaps

New NICE high sensitivity troponin guidance: 3 hours and done?

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find

JC: Should USS be first investigation for renal colic? St.Emlyn’s

A few years ago I was asked to see a patient in the rapid assessment unit with severe pain in the flank. She looked as though she had renal colic and we instituted the usual

The Heart Under Stress – St. Emlyn’s at SMACC Gold

  Chris Nickson (@precordialthump) is a genius in many ways. Not only does he organise arguably the best healthcare conference in the world right now, but he’s also a very clever chap when it comes

The Troponin Ashes at SMACC Gold: Cullen v Body

Unless you’re very new round these #FOAMed parts, by now you’ll definitely have checked out some of the greatest talks in the history of mankind from the SMACC Gold podcast over at the awesome Intensive

When you close your eyes – Syncope at St Emlyns

Can you believe it’s been more than two weeks since changeover? Hopefully you’re starting to find your feet in the Emergency Department but it can take a while to feel really comfortable so don’t worry

JC: When a subdural needs surgery in the elderly. St. Emlyn’s

The diagnosis and management of major trauma in the elderly is a really hot topic in Emergency Medicine right now.  Compared to younger patients, the elderly can sustain much more serious injuries even with apparently trivial

High sensitivity troponin at St. Emlyn’s

  Recently we published part one of our series on cardiac troponins.  If you haven’t checked it out yet, you can find it here.    In the second part, we’re going to take a look

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