Tag Archive: rule out

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

  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…
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How accurate is clinical judgement for acute coronary syndromes?

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…
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JC: I’ll just ask Dr Google..for some PE/ACS investigation advice @ St.Emlyn’s

OK folks, the debates around PE & ACS investigation over the last few years have been fantastic. Not only have they challenged our reliance on protocols, the debates have also asked us to question what we truly understand about the…
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JC: ADAPT my management of low risk chest pain? I’m not sure I will…….

Another Friday another JC in Virchester. Lots of chin stroking and pontification on this one. We looked at the ADAPT trial by Martin Than and colleagues. Essentially they assessed the diagnostic utility of an accelerated protocol using Timi risk score,…
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Deciding Who To Investigate For ACS: The Problem Of ‘Coronary Bridge’

It seems to me that many emergency physicians struggle to understand exactly how we’re supposed to be managing patients with suspected cardiac chest pain.  The first, and arguably most important question, is about who we should investigate in the first…
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