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Emergency Medicine

Clinical articles, journal clubs and discussion from St Emlyn’s. This archive spans many years; check each article’s date and references alongside current local guidance.

An introduction to sample size calculations. St.Emlyn’s

20 min read

An introduction to planning sample size and understanding statistical power, linking effect size, precision and the risks of false positive and false negative results. Worked examples cover continuous outcomes, proportions and diagnostic accuracy studies, helping readers understand the assumptions behind calculations and ask better questions about research.

Podcast – Understanding Troponin Part 2

32 min read
Understanding troponin

Iain Beardsell and Rick Body explore high-sensitivity troponin testing in this 2014 podcast. They distinguish analytical from diagnostic sensitivity, explain assay precision and changes between samples, and discuss why results need interpretation alongside the clinical picture rather than being treated as a diagnosis on their own.

High sensitivity troponin

9 min read
High Sensitivity Troponin

What does ‘high sensitivity’ actually mean when describing a troponin assay? This 2014 explainer and accompanying podcast unpack detection limits, precision and the distinction between analytical and diagnostic sensitivity, while exploring why more sensitive tests still require careful clinical interpretation.

Podcast – Headache – Intro to EM

21 min read

Iain Beardsell and Simon Carley discuss the patient presenting with headache in this 2014 induction podcast. The conversation covers the history that raises concern for serious causes, uncertainty around investigations, relief of pain and the value of talking decisions through with a senior colleague.

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