RCEM Learning August 2025
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Aug 30, 2025 Matt Reed, Chair of the research committee at RCEM, discusses the highly anticipated Flagship Conference set for 2026. He shares insights on integrating scientific presentations with interactive simulations. The conversation also covers the latest guidelines for managing acute coronary syndrome and atrial fibrillation, emphasizing the importance of evidence-based practices and community health. Reed highlights innovative formats for conferences that promote participant engagement and professional development in emergency medicine.
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ACS Rule-Out Use Multiple Inputs
- Chest pain workups combine history, ECG, clinical risk scores and troponin testing to safely rule out ACS in many patients.
- Multiple rule-out strategies exist but all aim to lower post-test ACS probability to permit safe ED discharge.
High-Sensitivity Troponins Widely Adopted
- The TURN snapshot across 94 UK EDs found most use high-sensitivity troponins and varied clinical scores, with ~70% discharged.
- Despite rapid troponin strategies, overall ED length of stay remained around six hours in the cohort.
System Factors Limit Speed Gains
- Rapid single-troponin rules appear safe but did not shorten ED length of stay in the UK study.
- System factors like crowding and lab delays likely dilute the benefit of faster biomarker algorithms.