Category: Cardiology

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

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