Spot the WOBBLER in syncope!
Syncope is a common ED presentation. An ECG is a critical investigation in syncope to identify the cause, including rare […]
Acute Med, All Updates, ICU, Resus
investigation
Acute Med, All Updates, Resus
Swallow a camera in GI bleed
Two recent studies evaluate the use of a novel ingestable camera to diagnose upper gastrointestinal bleeding in emergency department patients. […]
Acute Med, All Updates, ICU, Resus
Potassium levels and AMI death
An association is demonstrated between abnormal (both high and low) serum potassium levels and in-hospital mortality in patients with acute […]
Acute Med, All Updates, Guidelines, Resus
What do I do with a high sensitivity troponin?
Newer high-sensitivity troponin tests can be positive in patients who would have negative tests with the ‘traditional’ assay, which can […]
All Updates, Resus, Ultrasound
IVC collapse depends on breathing pattern
A high degree of sonographically-visualised collapse of the inferior vena cava (IVC) during inspiration suggests a volume-responsive cardiac output. This […]
Acute Med, All Updates, Resus
TIA workup renders ABCD2 unhelpful
ABCD2 is recommended to stratify the risk of stroke in patients presenting to the ED with TIA symptoms. In some […]
Acute Med, All Updates, Guidelines, Resus
Algorithm for Body Packers
‘Mules’ or body packers are people who transport illegal drugs by packet ingestion into the gastrointestinal tract. A large study […]
Acute Med, All Updates, Resus
Venous gas in COPD exacerbation
Prolific emergency medicine researcher Anne-Maree Kelly and colleague Dr Lim from Tan Tock Seng Hospital in Singapore have published a […]
Acute Med, All Updates
Higher D Dimer cut-off in older patients
D-dimer levels below the conventional cut-off point of 500 µg/l combined with a “low/intermediate” or “unlikely” clinical probability can safely […]
All Updates, Kids
Extreme white cell counts
Febrile children aged three months to three years with a white cell count over 25000/mm3 and fever were compared with […]