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Author Archives: Andy Neill

Chest pain/protocols and algorithms. Not everyone needs an EST!

30 May

[I know the video isn’t immediately relevant but it’s still awesome…] From the blogs and podcasts, it seems that everyone in the US with a chest and some pain in it will get a rule out in the ED followed … Read More »

critical appraisal ACS, critical appraisal, EST 3 Comments

Shaken Baby Syndrome and SDH at birth

26 May

This was fascinating to me, though it may be old news to some of you. This paper1from WJEM is a narrative review of the available evidence used in forensic settings to link SDH and retinal bleeds with Non-Accidental Injury (NAI). … Read More »

critical appraisal shaken baby syndrome, SHD 1 Comment

On IST-3 and why we still don’t have the answer we were looking for…

25 May

OK so IST-3 is out. It’s a big and important trial so make sure and read it. Stroke lytics get a lot of attention from EM folks, if only because we seem the only ones not convinced of its efficacy. … Read More »

critical appraisal, stroke thrombolysis IST3, stroke lysis, tPA 3 Comments

Anatomy for Emergency Medicine 016: The LMA as a murder weapon?

22 May

So this one is off the normal beaten track for me. The original Scancrit post can be found here The paper can be found here. Here’s the rest of my thoughts on it: This study was found by ScanCrit a while back now and … Read More »

Anatomy in EM, critical appraisal, lecture anatomy, cartoid, LMA 20 Comments

Should we rely on a trop to guide PCI activation in cardiac arrest?

22 May

This was an R&R recommendation via Ryan so go read his take on it, which is roughly the same just written much better… METHODS prospective data from Paris in a large centralised system OHCA attended by the mobile ICUs that include … Read More »

critical appraisal cardiac arrest, PCI 3 Comments

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