Category: Diagnosis

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

Dystonia in the Emergency Department. St Emlyn’s

I’m sure we’ve all seen cases like this. A 25 year old lady walks in to the ED complaining of a swollen tongue. She can’t really talk, seems a bit anxious and is quite tearful.

Cardiology Case 03: Are you missing the STEMI? St. Emlyn’s

It’s been a while since we had a Cardiology case at St. Emlyn’s.  If you haven’t already seen Cardiology cases 1 and 2, make sure you take a look. Check out our disclaimer too.  We

JC: I’ll just ask Dr Google..for some PE/ACS investigation advice @ St.Emlyn’s

OK folks, the debates around PE & ACS investigation over the last few years have been fantastic. Not only have they challenged our reliance on protocols, the debates have also asked us to question what

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Wrestling with Risk at SMACC 2013 St.Emlyn’s

Thanks so much to Chris, Oli and Roger for helping me put together this presentation from SMACC 2013 on wrestling with risk. If you’re an ED doc then the summary is…. You don’t make diagnoses

Don’t Be Rash – Petechiae in Well Kids at St Emlyn’s

A 6-month-old girl is brought by mum to the ED with a cluster of non-blanching spots to her right lower leg noticed while bathing her. She has a mild cough and snotty nose but is


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