Category: Ambulatory Care
Level Pegging? JC and the PEGeD study @StEmlyns
It’s not often you see a mate as a lead author in the New England Journal of Medicine (NEJM). When you do, it needs celebrating. Hats off to Associate Professor Kerstin de Wit (nee Hogg), …
JC: Pulmonary embolism, ambulatory care and the goddess of the hunt
This post covers a talk I was asked to give at the recent RCEM CPD conference in Belfast. A great event, and well hosted in spite of the LOC chair becoming indisposed by imminent fatherhood. …
St Emlyn’s in Review – October 2017
It’s great to be back podcasting again after what has been a busy few months, We’re sorry for the hiatus, but occasionally other stuff gets in the way! Here we review some of the amazing …
The new oral anticoagulants – the good news – or is it?
A new study in the BMJ this week suggests benefit from use of the new oral anticoagulants. This is of significance to those of us in UK emergency medicine involved in the diagnosis and initial treatment …
JC Are we doing too many CTPAs? St.Emlyn’s
Well! I go away for 1 week to Devon to spend time with the family and to visit the holiday haunts of Agatha Christie and what do you know? JC descends into another discussion about …
The POP, the Chief, his risk assessment and her thromboprophylaxis
So, we’ve already talked about this. But changing times call for changing posts. And we want to know what you think… A 30 year old comes in 10 days after being put in an equinus …
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 …
Glasgow Scores… Not just for coma any more!
Quick post… NICE have recently published new guidance on Upper GI bleeding. It is surprisingly sensible. I was pleased with their position on PPI’s for upper GI bleeding (not before endoscopy…). The other point that I was happy to …
JC: ADAPT my management of low risk chest pain? I’m not sure I will…….
Another Friday another JC in Virchester. Lots of chin stroking and pontification on this one. We looked at the ADAPT trial by Martin Than and colleagues. Essentially they assessed the diagnostic utility of an accelerated …