Cardiology

JC: Cardiac arrest centres and bypass. St.Emlyn’s

The concept of cardiac arrest centres is not entirely new and is something we’ve been talking about in Virchester for some time. Indeed, there are several articles in the literature and a fairly reasonable patho-physiological argument for them1–3. We know…
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JC: Is this the REASON to use USS in cardiac arrest? St.Emlyn’s

This month the emergency department point of care ultrasound in out-of-hospital and in-ED cardiac arrest trial from the REASON1 trial is published in the journal Resuscitation. This has been rumoured for some time in the #FOAMed world as patient outcome…
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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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Life and Learning from Rob Rogers on the other side of that ECG. St.Emlyn’s

Last week I was  wandering through Amsterdam when I came across a tweet which stopped me in my tracks. A real game changer, a shock, a wake up call and a surprise. Rob Rogers (aka @EM_Educator) tweeted a really interesting…
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JC: Does EPO improve OOHCA outcomes? St.Emlyn’s

Here at St.Emlyn’s we are always interested in improving outcomes from serious illness and injury. In many cases the outcome for patients in terms of their quality of life is related to neurological function. Yet we are limited in what…
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Getting your chest pain evaluation right: #UMECS16

Last week, while Iain was giving a keynote lecture in Austria, I was also heading for distant shores to speak about chest pain evaluation at a special conference set up by the legendary Amal Mattu: the University of Maryland Emergency…
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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) of Troponin as a diagnostic…
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JC The REVERT trial: Dip or doom for SVT in the Emergency Department?

SVT (supraventricular tachycardia) is something we see a lot of in Emergency Medicine.  Any emergency physician will tell you exactly how satisfying it is to treat a patient with SVT.  There must be close to a 100% successful cardioversion rate, one…
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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 we use it. In diagnostic…
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