Category: Diagnosis

Cardiology Case 02: ST depression, no rush? St.Emlyn’s

I can’t believe how time flies.  It’s over a month since Cardiology Case 01 and it’s gone by in the blinking of an eye.  This month’s case is inspired by a discussion we had at

Emergency Medicine, a risky business part 2.

How to consider thresholds for labelling in the diagnostic process. Diagnosis does not guarantee treatment success or failure.

EKG in inferior myocardial infarction

Emergency Medicine, a risky business part 1. You are not a diagnostician.

Time to think about whether you are really an emergency medicine diagnostician… Are you a diagnostician? Of course you are! Why do I even need to ask? Well, to be honest I’m no longer very

Cardiology Case 01

Here we go with what I hope will become a regular feature of the St. Emlyn’s blog – a cardiology case of the month.  This is something I’ve been running for short while in my

Clinical skills – Does anyone use Ophthalmoscopes anymore?

How well do doctors use Ophthalmoscopes in the emergency department

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You Snooze, You Ooze: Anticoagulants and Minor Head Injury

We’re lucky to have NICE guidelines in the UK.  A couple of years ago, on a visit to the US, one of my collaborators from the US mentioned how jealous he was that we have

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Glasgow Blatchford Score 2 – The case for an RCT!

Thanks for a great post, Gareth.  If you’ve landed here without reading that post, hit the link – this is a follow on, a ‘deep dive’ in the words of Smart EM – to be taken

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The time bomb of doom: What I think about when I’m tending broad beans

The dilemmas and difficulties of diagnosing Aortic dissection in the emergency department. Differential diagnosis. Early investigation and management.

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Deciding Who To Investigate For ACS: The Problem Of ‘Coronary Bridge’

It seems to me that many emergency physicians struggle to understand exactly how we’re supposed to be managing patients with suspected cardiac chest pain.  The first, and arguably most important question, is about who we


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