4.8 • 678 Ratings
🗓️ 15 May 2017
⏱️ 40 minutes
🧾️ Download transcript
How many patients are admitted from your ED with suspected cardiac chest pain? What strategy of testing do you employ to rule out acute myocardial infarction? When and why do you send troponins in this process?
In this podcast Ed Carlton, Emergency Medicine Consultant at North Bristol Hospital and Troponin Researcher, talks to us about troponin rule out strategies, recent publications on the topics, where the future of troponin research is heading and most importantly what this all means for our practice.
Our previous podcast on troponins acts as a good introduction to this episode. Have a listen to both and we'd love to hear your comments at the bottom of the page and we hope you found this as useful as we did!
Enjoy
References
Effect of Using the HEART Score in Patients With Chest Pain in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial. Poldervaart JM. Ann Intern Med. 2017
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0:00.0 | Welcome to the Recess Room podcast. |
0:03.9 | Five, four, three, two, one, fire. |
0:12.4 | So hi, and welcome back to the Recess Room podcast. I'm Simon Lang, and today I've got with me. |
0:18.9 | Ed Carlton, Emergency medicine consultant from Bristol. |
0:21.9 | And Ed, you're on today, very kindly, because we're going to be speaking about... |
0:26.0 | Troponin's my passion. |
0:28.6 | Absolutely. |
0:29.4 | And it's definitely a passion because it's taking us about an hour to set up this recording, |
0:33.2 | so I'm sure it's going to be worthwhile. |
0:35.3 | I hope so. |
0:37.9 | For the pain involved so far. |
0:40.9 | There have been three papers that come out recently that look at troponins in an ACS rule-out |
0:46.6 | strategy, which is something that all of us in emergency medicine will be involved in in a number of different ways and so it'll be interesting |
0:55.2 | to run through these three papers. So before we run through the three papers that you've |
1:02.0 | picked out, there are probably some concepts that we all need to understand before we actually |
1:06.5 | talk about them all and quite a lot of depth. So there are obviously a wide variety of |
1:10.6 | troponins that |
1:11.3 | people use. So high sensitivity troponin, that's what we're going to be concentrating on here, |
1:16.0 | isn't it? Yeah, yeah. So high sensitivity troponin are lab-based troponin. You can't get a point |
1:23.7 | of care, a high-sensitit tropon test. And if you're using them, you're either using |
1:28.5 | a troponin T or a troponin I assay. And there are only two available, and they've got key |
1:35.3 | characteristics that I think we should just run through briefly. We're certainly using |
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