The MSc in Advanced Emergency Care started this week at ScHARR. ScHARR has an international reputation for its research in the field of emergency and pre-hospital care. The MSc will complement this by providing training in emergency care research , management and on a range of clinical topics.
Eleven new modules have been developed for this course. Most are delivered entirely by distance learning, enabling busy clinicians to work and study at the same time.
The modules are lead by both ScHARR academic staff and clinicians with expertise in a range of disciplines. In addition ScHARR has worked with Irwin-Mitchell, one the UK's leading law firms, to jointly develop the medico-legal and forensic medicine module.
Further development of the course will be happening in the coming months and details will posted here and on the ScHARR website.
Thomas Locker
Thursday 27 September 2012
Thursday 20 September 2012
Is it time to drop the 10 hour troponin from NICE chest pain guidance?
NICE chest pain guidance is due for review in 2013. When the
guidance was developed there was insufficient evidence relating to
high-sensitivity troponin to make recommendations, but since then the evidence
has increased. We therefore undertook an economic analysis to determine the
cost-effectiveness of different troponin testing strategies for patients with
suspected myocardial infarction. The results, published in the October issue of Heart, suggest that the NICE recommendation that troponin should be measured 10
hours after symptom onset does not promote cost-effective care. In most of the
scenarios we studied the additional costs incurred by 10 hour troponin testing did
not represent value for money for the quality-adjusted years of life gained,
compared to high sensitivity troponin testing at presentation. Amendment of
NICE guidance to recommend presentation or 3 hour troponin testing instead
of 10 hour
testing could substantially reduce chest pain admissions, with an associated
reduction in pressure on acute beds and consequent cost savings.
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