Tag: diagnosis

JC: What’s the ‘best’ test for a broken chest? St.Emlyn’s

A 45 year old man comes off his motorbike on a country road. He is flagged up as major trauma and gets the full works, including WBCT. This reveals nothing other than 3 undisplaced rib

Is severe chest pain more likely to be a heart attack?

    Have you ever heard this sort of conversation in your ED? Junior ED doc: Can I run my patient by you, please? Senior ED doc: Sure Junior: I  have a 40 year old man with chest

JC: Should USS be first investigation for renal colic? St.Emlyn’s

A few years ago I was asked to see a patient in the rapid assessment unit with severe pain in the flank. She looked as though she had renal colic and we instituted the usual

The Heart Under Stress – St. Emlyn’s at SMACC Gold

  Chris Nickson (@precordialthump) is a genius in many ways. Not only does he organise arguably the best healthcare conference in the world right now, but he’s also a very clever chap when it comes

High sensitivity troponin at St. Emlyn’s

Recently we published part one of our series on cardiac troponins.  If you haven’t checked it out yet, you can find it here.  In the second part, we’re going to take a look at high

Cardiac Troponin: The basics from St. Emlyn’s

Do you remember when it took three days to ‘rule in’ or ‘rule out’ an acute myocardial infarction (AMI)?  When I was a medical student doing my first clinical attachments, I remember doing ward rounds

What to believe and when to change. St.Emlyn’s at SMACC

My second talk at SMACC Gold. This followed on from the earlier talk on do risk factors factor  in the ED. In this talk I try and link evidence to population and individual practice. I

Do risk factors factor in the ED? St.Emlyn’s at #SMACC Gold

We’ve said it before but SMACC really is the best conference in the world for anyone involved in resuscitation, and it’s not just about the latest and greatest bits of kit, or the latest airway

Cardiology Case 04: An unusual ECG

Here we go with another Cardiology Case at St. Emlyn’s.  If you haven’t already, check out the other cases in this series: Cardiology case 01 Cardiology case 02: ST depression, no rush? Cardiology case 03: Are

The MACS Rule: Immediate ‘rule in’ and ‘rule out’ for suspected cardiac chest pain

This post is about a paper we published today in Heart – the result of more than 9 years of work – phew! Here’s a link to the paper (open access), which reports how we

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