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

Cardiac Troponin: The basics from St. Emlyn’s

T E N N I S (3)

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


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


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 […]

Ethical Dilemmas in Emergency Medicine part 3: Is Primum non nocere timeless or ridiculous?


If you haven’t been following this series, you can also find part 1 and part 2 on the blog. Part 3: Primum, non nocere When I was a green young House Officer working stupidly long hours quite a few years ago, I can remember the sense of nervous excitement I got when the nurses would page […]

Dystonia in the Emergency Department

Jabba's favourite decoration by Stefan at flickr.com

I’m sure we’ve all seen cases like this. A 25 year old lady walks in to the ED complaining of a swollen tongue. She can’t really talk, seems a bit anxious and is quite tearful. The triage nurse notices that the tongue seems a bit prominent and assumes that this is anaphylaxis. The lady is […]

JC: Paediatric Major Trauma Triage

Screen Shot 2014-04-11 at 17.23.52

There aren’t a lot of things in Emergency Medicine that are more important than managing paediatric major trauma.  St. Emlyn’s in Virchester is a Paediatric Major Trauma Centre, and it’s virtual catchment area is pretty massive.  That means we’re pretty used to the adrenaline surge that you get at 4am when the pager goes off […]

When pain relief is not enough in the Emergency Department. St.Emlyn’s


Treating pain in the Emergency Department is a skill, and a really important one.  Although we’d like to think otherwise, saving lives actually accounts for only a very small part of what we do as emergency physicians.  The other, much larger, part of our role is to make our patients’ lives better.  There are many ways that we […]