JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s
As you surely know we love thinking about Troponin at St.Emlyn’s. We have our own world expert in Rick Body and there is loads of stuff here on the site …
HAP8
JC: Are typical chest pain symptoms predictive of outcome? St.Emlyn’s
We love a bit of meta-cognition here at St.Emlyn’s. As time passes and we all become a little longer in the tooth it becomes increasingly apparent that it’s not just …
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Good times part 1: DIDO-30 for STEMI
STEMI is one of the true medical emergencies. Â We all know that the sooner our patient gets revascularisation, the better they do. Â We’ve known this for years. Â In a very …
The MACS rule: a new user-friendly version
This blog post is based on a paper we’ve just had published in the Emergency Medicine Journal entitled: ‘The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new …
Is severe chest pain more likely to be a heart attack?
Have you ever heard this sort of conversation in your ED? Junior EDÂ doc:Â Can I run my patient by you, please? Senior ED doc: Sure Junior:Â I Â have a 40 …
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Induction – Chest Pain in the ED
Chest pain is the archetypal ED presentation: one which presents frequently and usually has a benign cause, but could, just could, be the result of life threatening pathology. As Emergency …
New NICE high sensitivity troponin guidance: 3 hours and done?
The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the …
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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 …
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The Troponin Ashes at SMACC Gold: Cullen v Body
Unless you’re very new round these #FOAMed parts, by now you’ll definitely have checked out some of the greatest talks in the history of mankind from the SMACC Gold podcast …
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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 …