
The St.Emlyn’s Podcast
Ep 243 - The Subarachnoid Haemorrhage in Emergency Department (SHED) Study
Sep 26, 2024
Dan Horner, a consultant in Emergency Medicine and Neurocritical Care, and Tom Roberts, an Emergency Medicine Registrar and clinical lecturer, discuss their SHED study on diagnosing subarachnoid haemorrhage. They reveal findings about the effectiveness of CT scans in emergencies, especially within 18 hours of headaches. The conversation dives deep into the challenges of diagnosing severe headaches, methodologies used in the research, and the vital role of prompt imaging for better patient outcomes in emergency settings.
41:22
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Quick takeaways
- The SHED study demonstrated that CT scans can safely rule out subarachnoid haemorrhage up to 18 hours after headache onset, challenging traditional timeframes.
- Emergency physicians are encouraged to prioritize clinical judgment and engage in shared decision-making with patients regarding further testing options after CT scans.
Deep dives
Establishment of the Trainee Emergency Research Network (TERN)
The Trainee Emergency Research Network (TERN) was established in 2018 with the aim of enhancing research opportunities for emergency medicine trainees. Created by Dan Horner and Tom Roberts, TERN focuses on producing pragmatic research that can be easily executed by trainees in busy emergency departments. By initiating discussions with trainees about their research priorities, TERN seeks to address significant clinical questions and improve clinical outcomes through increased research activity. The network has enabled large-scale studies, enrolling participants from nearly 100 UK hospitals, which helps in generating valuable insights into emergency medical practices.
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