Category: Diagnosis

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

On a FAST track to nowhere at St.Emlyn’s

This week a little attempt at #dogmalysis for USS education in the UK. I want this to make you think about the links between what we teach and learn vs patient outcomes. In an ideal

JC: Do paediatric CT scans cause cancer? St.Emlyn’s

If I think back to my practice a few years ago (as I’m getting older) there is no doubt that the number of CT scans I’ve performed from the ED has increased. In both my

Emergency Medicine: A risky business part 6. How many steps to disaster?

So what do we mean by a miss exactly? Is it always a terrible thing and why is it that if we constantly miss diagnoses (we do you know) we are not in court every

JC: Cullen on high sensitivity Troponin. St.Emlyn’s

There has been much debate about the use of high sensitivity troponins in the ED over the last year, but the picture is getting clearer as we see more trials looking at the utility of

JC: Delta signs for shock trauma. St.Emlyn’s

I recently had a bit of fun at the Telford trauma conference talking about the top 10 papers of 2012 and in passing mentioned the #dogmalysis of ATLS shock categories published in Resuscitation last year

Emergency Medicine, a risky business Part 5. Does a correct diagnosis mean that the therapy will work?

Emergency Medicine: A risky business part 5. Does a correct diagnosis mean that the therapy will work? In the previous post in this series around diagnostics we have looked at how the performance of most

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