Tag: sensitivity

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

How accurate is clinical judgement for acute coronary syndromes?

This blog post is based on the paper published in the EMJ this week – Body R et al. Can emergency physicians rule in or rule out acute coronary syndromes using clinical judgement? EMJ 2014

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

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

Why hyper-troponin-aemia does not always equal acute myocardial infarction

Can you remember the time when it took several days to rule out a myocardial infarction? Do you remember running serial CK, LDH and ALT? Did you run this in patients whose history was a

Emergency Medicine, a risky business Part 3. How often is it acceptable for me to be wrong?

Emergency medicine is a risky business. In this continuing series looking at how we as emergency physicians look at risk we are going to spend a bit of time looking at how we feel about

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JC: ADAPT my management of low risk chest pain? I’m not sure I will…….

Another Friday another JC in Virchester. Lots of chin stroking and pontification on this one. We looked at the ADAPT trial by Martin Than and colleagues. Essentially they assessed the diagnostic utility of an accelerated

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