Lesson Plan – Critical Appraisal – The LoDED Study

Picture the scene…

You are assessing a patient with low risk chest pain and wonder if one high sensitivity troponin will be enough to rule out a cardiac cause

Learning Objective

To critically appraise the LoDED Study

RCEM Curriculum


Task 1 – Read the Paper

Task 2 – Listen

Task 3 – Discuss

Task 4 – Summary

Task 5 – Reflect


  1. 1
    Carlton E, Campbell S, Ingram J, et al. Randomised controlled trial of the Limit of Detection of Troponin and ECG Discharge (LoDED) strategy versus usual care in adult patients with chest pain attending the emergency department: study protocol. BMJ Open 2018; : e025339.