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Septic Arthritis Biomarker Emergency Rule-out Study


Atraumatic acute joint swelling in adults or children, a limping child or a child unwilling to weight-bear/move a joint due to pain are common presentations to the Emergency Department.  The key diagnostic differential is between septic arthritis, which is defined as inflammation of a joint secondary to bacterial infection, and non-infectious causes of inflammation e.g. gout and transient synovitis.  However, distinguishing between infectious and non-infectious arthritis represents a diagnostic challenge as:

  • clinical signs and symptoms may be subtle with considerable overlap between the two groups
  • screening laboratory/imaging studies and synovial fluid/blood cultures are relatively insensitive.

Research2 Jun 2018

Introducing …. Nicola Baxter

Nicola was our first nurse appointed smashing the interview and rapidly getting a handle on the intricacies of clinical research in the ED. Her portfolio of studies includes She leads on Rapid-CTCA, Target-CTCA, SABER and Pro Teds

Research2 Jun 2018

Introducing .... Mark Wilson

Mark was appointed in June 2017 and has rapidly found his feet helping promote QEUH ED nurse engagement. His infectious enthusiasm and energy will be a huge asset to the team! He leads on Novel, Aerogen, RAMPP, Frontiers

Education2 Jan 2018

New Trauma Man

Introducing Dave the Trauma Man! The QEUH will become a Major Trauma Centre in 2019 as part of the Scottish Trauma Network. Dave is going to have a pretty tough year… in fact he is going to experience more car accidents, falls from height and industrial accidents than any other manikin in Scotland.