Category: Emergency Medicine

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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

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The Olympics and the ED physician

It’s a great week to be British. Bradley Wiggins wins the tour and we are just a few short days away from the greatest show on Earth – the Olympics I mean. (Ed – don’t

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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

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NICE faces the sickle

New guidance out on sickle disease from NICE in the BMJ I must admit to having a bit of an interest in sickle cell disease and the ED. There are two reasons for this. Firstly,

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The time bomb of doom: What I think about when I’m tending broad beans

The dilemmas and difficulties of diagnosing Aortic dissection in the emergency department. Differential diagnosis. Early investigation and management.

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JC: The end for potatoes on the ICU…?

Another Journal club, another fruity (or vegetable-y) discussion today. The recent large prospective RCT by the Scandinavian 6S trial group on HydroxyEthyl Starch vs Ringer’s acetate in severe sepsis was published in the NEJM this

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Superficial Venous Thrombosis: watch and wait or anticoagulate?

Check out our ICEM poster on this. So, I see this old chestnut is under discussion again. A couple of us from the EmergINg team brought a poster to ICEM on this very topic. Sure you’ll all

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Should POPs be mixed with Heparin?

We published an interesting BET in the EMJ earlier (open access version here) this year about the use of low molecular weight heparin for patients placed in below knee POPs in the ED. This is

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Deciding Who To Investigate For ACS: The Problem Of ‘Coronary Bridge’

It seems to me that many emergency physicians struggle to understand exactly how we’re supposed to be managing patients with suspected cardiac chest pain.  The first, and arguably most important question, is about who we

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New NICE guidance on Investigation of DVT in the ED

Is Venous Thrombo Embolism the most controversial area of EM practice at the moment? I think it might be as there is rarely a meeting or conference where the subject is not discussed and debated.


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