Rick Body

Rick Body is a Consultant in Emergency Medicine, an NIHR Postdoctoral Research Fellow, an Honorary Lecturer in Cardiovascular Medicine and the Research Director of the Emergency Medicine and Intensive Care Research Group (EMERGING) in Central Manchester, UK. The focus of his research is in the early diagnosis of acute coronary syndromes, with emphasis on decision-making technology and biomarkers

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

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  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 to thinking of imaginative titles for speakers. Last year Chris invited me to talk at SMACC Gold. Now, it seems […]

Ethical dilemmas in Emergency Medicine 4: The ethics of triage

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It’s been a while since we published our last ‘Ethical Dilemmas’ post at St. Emlyn’s. Hopefully you’ve already seen the other posts in this series but, if not, you should check out part 1, part 2 and part 3. This time let’s take a look at triage – something we do every day in the […]

The Troponin Ashes at SMACC Gold: Cullen v Body

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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 Care Network. You’ll also, I’m sure, have checked out the stories behind the talks from our own awesome team. Simon, […]

JC: When a subdural needs surgery in the elderly. St. Emlyn’s

When asubdural haemorrhageneeds surgery (1)

The diagnosis and management of major trauma in the elderly is a really hot topic in Emergency Medicine right now.  Compared to younger patients, the elderly can sustain much more serious injuries even with apparently trivial mechanisms.  What’s more, they present very differently – and it’s easy to underestimate severity in this group at the time […]

High sensitivity troponin at St. Emlyn’s

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  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 sensitivity troponins and some of the more advanced areas around understanding cardiac troponin and its use in practice. […]

Cardiac Troponin: The basics from St. Emlyn’s

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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 on the CCU seeing patients with suspected AMI.  The way they were managed is a million miles from what we do […]

How accurate is clinical judgement for acute coronary syndromes?

Maybe emergency physicians are as good as House after all

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 [Online first]. Anyone who’s worked in Emergency Medicine for any length of time will appreciate that an acute coronary syndrome […]

Stephen Covey and medical leadership part 2: Begin with the end in mind

Bird Over Sunset by Scorsagra

Recently we published the first of a new series looking at the lessons we can learn in medicine from Stephen Covey’s legendary book ‘The Seven Habits of Highly Effective People’.  A lot of this is relevant to our everyday lives as well as our careers, and you definitely don’t need to have an interest in […]

Cardiology Case 04: An unusual ECG

RBCC

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 you missing the STEMI? Here is case 04: A 50 year old man presents to the ED with ongoing central […]

JC: Plasma-lyte or Saline in Trauma? St. Emlyn’s

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We’ve been having debates about what fluids to use in trauma and sepsis for about as long as – well – about as long as we’ve had fluids.  We’ve had quite a bit of dogma going round, and a fair amount of recent dogmalysis – for example with Dan Horner heralding the end of potatoes on the […]

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

The MACS Rule

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 derived and externally validated the Manchester Acute Coronary Syndromes (MACS) decision rule. The MACS rule may help us to exclude […]