Diagnosis

Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should I prescribe antibiotics for this…
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Sugar and Spice…Not All Things Nice

Synthetic Cannabinoid

The use of synthetic cannabinoids is on the rise.  They are dangerous, don’t fit a particular toxidrome, and can require emergent intervention.  They are a nasty phenomenon and this article will hopefully show you why. The Background Novel psychoactive substances…
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When is a Door Not a Door? Bias, Heuristics & Metacognition

This is an amended version of a talk on metacognition I gave at the Royal North Shore Hospital Grand Round. The clinical scenario has changed but the content remains the same. The purpose of this talk was to help our…
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Upper Gastro Intestinal Bleeding at St.Emlyn’s.

Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year with an upper GI bleed….
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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 from a large, multi-centre, international…
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Induction to Emergency Medicine – St Emlyn’s Resources

Over the past few years I am very proud to say that as a team at St Emlyn’s we haven’t just focused on the “sexy” parts of emergency medicine, but our blogs and podcasts have also included lots of “core…
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