Tag: HAP8

The LoDED trial

JC: Are we fully LoDED?

Over the last few years many of us in the UK have started to incorporate high sensitivity troponin into the assessment of patients presenting with chest pain. We have seen these samples taken at ever

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B24. Right Bundle Branch Block With The Wenckebach Phenomenon in Acute Myocardial Infarction.

The ECG was recorded from an 82 year old woman admitted with an acute myocardial infarction. Monitoring on the coronary care unit had shown the development of dropped beats. ECG. The ECG shows sinus rhythm.

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

Troponin and biotin: a lethal combination?

Imagine you’re treating a patient who presented with typical cardiac chest pain. The initial ECG showed subtle lateral ST depression that seemed to resolve on subsequent ECGs. You’re very concerned by the clinical picture and

JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s

It’s another busy day in Virchester and you are put on standby for a 68 year old male who has had an out of hospital cardiac arrest. Fortunately it was a witnessed arrest and there

JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial at St.Emlyn’s

DETO2X-SWEDEHEART sounds like a new low-carb, high-alkali, So-Cal diet plan but it is actually a trial exploring the affect of oxygen on mortality in patients with a suspected acute coronary syndrome (ACS). There is a

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s

On June 15th 2016, I delivered an 8 minute talk arguing that we strongly consider the administration of systemic thrombolytics in patients with submassive pulmonary embolism at SMACCDub. This talk became infamous not for the

One high sensitivity troponin test to rule out acute myocardial infarction

This month I was honoured that a study I wrote with some terrific colleagues from Europe, Australia and the US has been published as the ‘Editor’s Choice’ in Academic Emergency Medicine. This was a secondary analysis


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