Those Canadians are clever. They’ve given us ankle rules and knee rules and subarachnoid rules. Now a Syncope Risk Score. In 2016 the first Canadian Syncope Risk Rule was published. The aim was to predict 30 day serious outcomes. In 2020 they validated the score. Sort of…. It was really an internal validation, conducted in…

Read More

Beware the Impersonators This week we see one of my favourite ECGs of the year. In fact I will call it that! It was sent in to me by a good friend, who goes by the alias of Dr Einthoven. Here is the story…..An elderly patient is brought into the ED with recurrent falls. There…

Read More

A normal X-ray does not necessarily exclude a fracture. It is simply a test used, with our pre-test probability to help us make a decision, in regards to a fracture being present or not. This is the way to not miss an occult fracture. In the last few weeks we are seeing a lot of…

Read More

The pronator Quadratus sign is a sign seen on the lateral X-ray of the wrist/forearm and can assist in diagnosing an occult radial fracture. The line represents a fat pad that lies parallel to the distal radius, over the fascial covering between pronator quadratus and flexor digitorum profundus muscle. The line runs from the palmar…

Read More