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.
An experienced emergency physician becomes a beginner again while training in prehospital care. Reflecting on uncertainty at a serious road collision, the author considers what new ED clinicians need from their senior colleagues: patience, support and an appreciation of how unfamiliar surroundings can unsettle even experienced doctors.
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.
A 2014 induction guide and podcast on assessing breathlessness in the emergency department. The post introduces important causes, focused history-taking, the role of investigations and early senior support, with further learning resources for clinicians finding their feet in the ED.
In this 2014 induction podcast, Iain Beardsell and Simon Carley work through the assessment of a breathless patient. They discuss clues from the patient’s history, overlapping causes of breathlessness, the contribution of imaging and blood gases, and bringing senior colleagues into the assessment early.
A 2014 learning guide to headache in the emergency department, with a podcast, self-test and further resources. It explores concerning features in the history, neurological examination and decisions about investigations, emphasising discussion with senior colleagues when serious causes remain a concern.