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Category: Cardiology

JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s

A trial published in JAMA asks exactly this question, the full text can be found here. The abstract is below, but as we always say, please read the full paper yourself. Previous studies have shown

CTCA

JC: CTCA for cardiac chest pain in the ED. St Emlyn’s

Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis of ACS through the use

Med-Fi: Chest pain in 2050

Read. more about our Med-Fi series here and see our future based content here. Fiona was relieved to have got the all clear for her heart health – it had been an anxious few hours.

Preventing mid-life spontaneity becoming a crisis – SCAD as a serious cause of chest pain. St Emlyn’s

It’s the call that no healthcare professional wants to get… “Hi Mate. Sorry to bother you, it’s just Lucy has got some chest pain and doesn’t look great. Do you think I should take her

Demystifying Adult Congenital Heart Disease in the ED – The Podcast from St Emlyn’s

This blog post accompanies a two part podcast series discussing Adult Congenital Heart Disease (ACHD) and how these patients may present to the Emergency Department (ED). Dr Sam Fitzsimmons, our guest on the podcast, is

JC: Finger on the Pulse?

If you’re an avid follower of FOAM, you’ll have seen many assertions that manual pulse checks by healthcare providers during cardiac arrest are pretty unreliable at best. The most commonly advocated alternatives are EtCO2 increase

The LoDED trial

JC: Are we fully LoDED?

Over the last few years many of us in the UK have started to incorporate high sensitivity troponin into the assessment of patients presenting with chest pain. We have seen these samples taken at ever

COVID-19 and The Heart. St Emlyn’s

A 70 year old man presents to your Emergency Department (ED) with a three week history of cough and mild shortness of breath, but this is improving. Over the last two days he has had

A Decade of Diagnostics in Emergency Care

When we saw in the last decade, I’d just finished my PhD looking to discover the ‘new troponin’. At the time, patients with suspected acute coronary syndromes (ACS) were routinely admitted to hospital to undergo

JC: Pseudo PEA in the ED. St Emlyn's

I don’t know if this has ever happened to you but when I was still a registrar, often I’d be in the midst of a resuscitation or major trauma case someone much cleverer than me