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The Reverse Vagal Manoeuvre for SVT

A NEW technique for reverting SVT was published in AJEM(1) this week. The Reverse Vagal manoeuvre for SVT,...

Canadian Syncope Risk Score

Those Canadians are clever. They've given us ankle rules and knee rules and subarachnoid rules. Now a Syncope...

A Patient with Wide Complex Tachycardia

Beware the Impersonators This week we see one of my favourite ECGs of the year. In fact I...

Don’t Miss the Occult Fracture

A normal X-ray does not necessarily exclude a fracture. It is simply a test used, with our pre-test...

Pronator Quadratus Sign

The pronator Quadratus sign is a sign seen on the lateral X-ray of the wrist/forearm and can assist...

Retinal Detachment

An elderly patient presents with worsening vision in one eye over the last 2 days. There is no...

Sudden Hearing Loss

A 64 year old male is sent into the Emergency Department by an audiologist with a sudden, greater...

Risk Stratification of Sudden Headache

This week we try something different. I interview the lead author of a recent paper on a proposed...

Idiopathic Intracranial Hypertension

A 28 year old woman presents to the emergency department with one week of headaches. The headache is...