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 […]
Life and Learning from Rob Rogers on the other side of that ECG Read More
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
Getting your chest pain evaluation right: #UMECS16 Read More
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
JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s Read More
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
JC: Are typical chest pain symptoms predictive of outcome? St.Emlyn’s Read More
STEMI is one of the true medical emergencies. Â We all know that the sooner our patient gets revascularisation, the better they do. Â We’ve known this for years. Â In a very
Good times part 1: DIDO-30 for STEMI Read More
This blog post is based on a paper we’ve just had published in the Emergency Medicine Journal entitled: ‘The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new
The MACS rule: a new user-friendly version Read More
Have you ever heard this sort of conversation in your ED? Junior EDÂ doc:Â Can I run my patient by you, please? Senior ED doc: Sure Junior:Â I Â have a 40
Is severe chest pain more likely to be a heart attack? Read More
The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the
New NICE high sensitivity troponin guidance: 3 hours and done? Read More
