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Author Archives: Andy Neill

Time to treatment for stroke and problems with observational data

21 Apr

Here’s a big study suggesting earlier TPA treatment for stroke results in better outcomes. This of course isn’t a new idea but this is new data here to support it: Saver JL, Fonarow GC, Smith EE, Reeves MJ. Time to … Read More »

critical appraisal, stroke thrombolysis lysis, stroke, tPA 2 Comments

Causes of reduced conscious level in North Dublin

10 Apr

[Apologies to anyone offended by the title, my tongue is firmly in cheek if that helps…] The hospital I currently work in is in one of the poorer areas of Dublin. There are a few hospitals with populations like ours … Read More »

board review coma, LOC, unconscious 5 Comments

Age Adjusted D-dimer Cut Offs

7 Apr

This paper recently published trying to confirm if it’s OK to raise the d-dimer cut off in older people. “Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism: the ADJUST-PE Study.” 311, no. 11 (March 19, 2014): 1117–1124. doi:10.1001/jama.2014.2135. PMID 24643601 … Read More »

critical appraisal d-dimer, VTE 6 Comments

Tasty Morsels of EM 037 – Heart Transplants

5 Apr

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource section. They’re useful in … Read More »

tasty morsels ecg, heart transplant, rosens, tasty morsel 2 Comments

The ProCESS Trial

29 Mar

This trial is kind of big news. Big news in the way TTM was. Be sure to get the paper (which is free for now) and the supplement that goes with it. There has already been some great discussion online … Read More »

critical appraisal EDGT, ProCESS, sepsis 3 Comments

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