Category: Diagnosis

Every Breath You Take – An Introduction to the Breathless Patient in the ED

Breathless patients are a challenge in the ED. Shortness of breath can be a frightening presenting complaint for both patients and doctors. As always, think about the possible life threatening causes and actively rule them out.

I

I Can’t Get You Out of my Head – Headache at St Emlyns

We’ve all had headaches, but not often severe enough to prompt us to seek help in an Emergency Department. Many patients presenting to the ED with a primary presenting of feature of headache will have

Cardiac Troponin: The basics from St. Emlyn’s

Do you remember when it took three days to ‘rule in’ or ‘rule out’ an acute myocardial infarction (AMI)?  When I was a medical student doing my first clinical attachments, I remember doing ward rounds

How accurate is clinical judgement for acute coronary syndromes?

This blog post is based on the paper published in the EMJ this week – Body R et al. Can emergency physicians rule in or rule out acute coronary syndromes using clinical judgement? EMJ 2014

St.Emlyn’s the podcast

If you’ve not found it yet then don’t forget to follow the St.Emlyn’s podcast. You can find us on iTunes here (please say something nice) and there are quite a few episodes already up on

What to believe and when to change. St.Emlyn’s at SMACC

My second talk at SMACC Gold. This followed on from the earlier talk on do risk factors factor  in the ED. In this talk I try and link evidence to population and individual practice. I

Do risk factors factor in the ED? St.Emlyn’s at #SMACC Gold

We’ve said it before but SMACC really is the best conference in the world for anyone involved in resuscitation, and it’s not just about the latest and greatest bits of kit, or the latest airway

Cardiology Case 04: An unusual ECG

Here we go with another Cardiology Case at St. Emlyn’s.  If you haven’t already, check out the other cases in this series: Cardiology case 01 Cardiology case 02: ST depression, no rush? Cardiology case 03: Are

Feeling in the gut or thinking in the brain..?

No more than a couple of days go by without someone around me using the phrase “gut feeling”, not just in a healthcare context but in all aspects of life. Sensing something, without the information

The MACS Rule: Immediate ‘rule in’ and ‘rule out’ for suspected cardiac chest pain

This post is about a paper we published today in Heart – the result of more than 9 years of work – phew! Here’s a link to the paper (open access), which reports how we

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