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.
New NICE Guidelines on diagnosis and management of venous thromboembolism Read More
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.
COVID-19: Journal Club #3 – The Webinar Read More
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.
COVID-19 Journal Club: The Director’s Cut #2 Read More
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.
POCUS for COVID19 – Sounding out a Virus Read More
An April 2020 podcast and accompanying notes following patients with COVID-19 from the emergency department into critical care. Dan Horner discusses respiratory support, proning, ventilation physiology and equipment problems, alongside the practical and emotional pressures of working in intensive care during the first wave.
Beyond the ED: COVID-19 and Critical Care Read More
An April 2020 critical appraisal of early reports linking COVID-19 with thrombosis and raised D-dimer. Dan Horner questions incidence estimates, composite outcomes and claims about heparin, explaining why observational associations alone could not settle the benefits and harms of intensified anticoagulation.
COVID-19 and Blood Clots: Diagnosis, D-dimers and Dilemmas Read More
An extended April 2020 COVID-19 journal club collection, combining the first webinar with ten additional paper reviews. Topics include children, antibody testing, intensive care outcomes, prediction models and thrombosis, with attention to bias, small samples and the limits of early observations.
Covid-19 Journal Club: The Director’s Cut #1. St Emlyn’s Read More
How should clinicians interpret a raised troponin when COVID-19 is also possible? This April 2020 review explores myocardial injury, myocarditis and acute coronary syndromes, emphasising the clinical history, ECG and alternative diagnoses rather than assuming every cardiac presentation is caused by the virus.
COVID-19 and The Heart. St Emlyn’s Read More
