The MACS rule: a new user-friendly version

St Emlyns - Meducation in Virchester #FOAMed

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 automated assay for heart-type fatty acid binding protein’.  You can find the full text at this link. In May last year we (Simon and I, […]

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PODCAST update with Mark Wilson on the GoodSAM app at the London Trauma Conference

St Emlyns - Meducation in Virchester #FOAMed

    Earlier this year we published a blog on the GoodSAM app, a device developed by Mark Wilson and colleagues in London that has a real potential to save lives. Since then we have heard him speak at a number of conferences including an inspiring talk at the London Trauma Conference. Iain was lucky […]

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You are not a SHOEMAKER. St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

  Simon recently claimed his new favourite word is pleiotropic, and whilst I don’t want to get into a vocab competition, I offer my own new favourite word: ultracrepidarianism. This is something I am eternally fearful of, but in all likelihood am probably guilty of daily; giving opinions and advice on matters outside of my […]

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Get the NOAC Knowhow: Novel Oral Anticoagulants Part 1

St Emlyns - Meducation in Virchester #FOAMed

Where would we be without warfarin?  The good old rat poison has served us brilliantly for decades, allowing us to anticoagulate patients to treat and prevent venous thromboembolism, prevent stroke in AF, and so much more.  As a House Officer, intern or Foundation doc, every doctor must surely have spent hours prescribing warfarin doses and […]

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JC: What’s the ‘best’ test for a broken chest? St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

A 45 year old man comes off his motorbike on a country road. He is flagged up as major trauma and gets the full works, including WBCT. This reveals nothing other than 3 undisplaced rib fractures on the right with no underlying haemo or pneumothorax. He is comfortable after the morphine given by our good […]

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Problems in Early Pregnancy – Induction

St Emlyns - Meducation in Virchester #FOAMed

The number of patients seen in each ED with problems relating to early pregnancy in the UK is very variable – some hospitals have rapid referral pathways for patients who know they are pregnant. It’s still worth thinking about early pregnancy problems though as all EDs see young women and many of these may not […]

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