Latest posts

A personal reflection on privilege, social bias and the limits of one's own perspective. Drawing on experiences in medicine and South Africa, the author examines uncomfortable conversations, unconscious bias and the need to listen to colleagues whose opportunities and experiences have been different.

Dan Horner reviews the 2020 NICE guidance on diagnosing and managing venous thromboembolism. The article discusses PERC, age-adjusted D-dimer, outpatient pulmonary embolism care and anticoagulant choices, including cancer-associated VTE, with attention to patient selection, bleeding risk and questions outside the guideline's scope.

Salim Rezaie joins the 28 April 2020 COVID-19 journal club, with the recording and paper list collected here. The discussion centres on thrombosis, alongside early reports on awake proning, antibody testing, hospital outcomes and falling acute coronary syndrome admissions.

An April 2020 review of ten COVID-19 papers, covering lung injury, service capacity, biomarkers, antibody testing and population surveillance. It also examines lung ultrasound, hydroxychloroquine and protection in refugee camps, separating promising ideas from evidence that was still preliminary.

Notes from an April 2020 discussion of point-of-care ultrasound in suspected COVID-19. The authors explore lung scanning, interpretation, decontamination, triage and training, while recognising that the evidence was developing and ultrasound findings needed to be considered alongside clinical probability and alternative diagnoses.

A nasty case of a purpuric rash in an otherwise well patient after gardening. The perils of phytophotodermatitis after strimming in the sun.