Tag: troponin

The future of diagnostics

The Future of Diagnostics #stemlynsLIVE

Making diagnoses is arguably the most important aspect of our work in Emergency Medicine. Until we know something about the nature of a patient’s condition, we can’t make informed decisions about whether they need to

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

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

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 about the use (and abuse)

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 ‘what’ we know it’s how

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

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 Emergency Department.  You can find

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 over at the awesome Intensive

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

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