Category: Cardiology

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

JC: AVP in Haemorrhagic Shock. St Emlyn’s

Blood product transfusion can be lifesaving for patients who have suffered major trauma, but the associated side-effects and risks, mean that most people would agree that less is more. This paper by Sim et al

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

Risk scores for cardiac chest pain: the first head-to-head comparison!

Suspected cardiac chest pain: everyone sees it, everyone has a different clinical pathway, and everyone has a different risk score for it. This week the Emergency Medicine Journal published our paper “Comparison of four decision

European Resuscitation Council meeting: Slovenia 2019. St Emlyn’s

This month I was lucky enough to be invited to speak in Slovenia at the European Resus Council meeting. It was a super place to visit and a wonderful conference. The theme of the conference

The future of diagnostics

The Future of Diagnostics #stemlynsLIVE

Making diagnoses is arguably the most important aspect of our work in Emergency Medicine. Until we know something about the nature of a patient’s condition, we can’t make informed decisions about whether they need to

JC: Should we rapidly cardiovert AF in the ED? St Emlyn’s

If I develop AF then I reckon I’d be able to spot it pretty quick, and I’d get myself down to ED pronto so that I could get myself cardioverted having read the excellent work

Podcast Round Up March 2019. St Emlyn’s

Here’s our regular monthly round up of the best of the blog from March 2019


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