Results for: troponin
JC: Cullen on high sensitivity Troponin. St.Emlyn’s
There has been much debate about the use of high sensitivity troponins in the ED over the last year, but the picture is getting clearer as we see more trials looking at the utility of …
Why hyper-troponin-aemia does not always equal acute myocardial infarction
Can you remember the time when it took several days to rule out a myocardial infarction? Do you remember running serial CK, LDH and ALT? Did you run this in patients whose history was a …
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 …
A decade in review for Emergency Care. St Emlyn's
I hope you’ve had a very happy Christmas/holiday period, and that work hasn’t been too intense for you. As we close out 2019, we’re looking forward to a new decade of Emergency Medicine here in …
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 …
Adult Congenital Heart Disease in the ED. St Emlyn’s
Virchester is recognised as a specialist centre for patients with adult congenital heart disease (ACHD). This is an interesting and occasionally challenging group of patients who may require some modifications in your approach to referral, …
#SASEM2019: Top 10+1 papers
This week I am in Jeddah at the Saudi Arabian Society of Emergency Medicine1. It has been a fabulous few days so far. The content is good, the presentations are way above average and I’ve …
JC: Do you see the light? Serum neurofilament light chain for prognostication following OOHCA
I’ve been meaning to do a blog on this paper for some time now. Paul Young, who’s opinion I have a lot of time for, seemed clearly excited about its release. And in December at …
Case A17. Inferoposterior myocardial infarction. St Emlyn’s ECG Library
History A 45 year old man is brought to hospital by paramedics after being found by passers by sat on the roadside. The paramedics can’t obtain a coherent history and score his GCS as 13/15 …
Case A9. Anterior Infarction with Lateral Ischaemia
History The ECG was recorded from a 72 year old man who had been admitted to hospital following a myocardial infarction three weeks previously. On that occasion he had presented late (12 hours after the …