The Approach to Venous Thromboembolism
Author: Shivon Manchanda Adapted from the lecture of Dr Kasia Gore Unilateral Leg Swelling When a patient complains of unilateral leg pain and swelling, we often get an ultrasound right…
5 Minute Journal: PE YEARS
Author: Dr. Shivon Manchanda “Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism.” Background: The diagnosis of PE can be challenging. We do not want to scan everyone, yet even…
Massive Transfusion Protocol
Intro
This blog post covers identifying the need for MTP, MTP protocol, goals of therapy, evidence behind MTP, adjuncts to MTP, and newer testing for coagulopathy. There is also a review of blood transfusion reactions.
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Stop the bleeding!
As emergency physicians, we know how to handle bleeding. But what about when the patient is on anticoagulants? Last week our ED pharmacist, Gary Peksa, PharmD, gave us some advice on how to stop the bleeding in a patient on anticoagulants. Here is a brief overview on what he taught us. Let’s start by discussing all the intricacies of the coagulation cascade and how each of the anticoagulants work:
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Bleeding AV Access
Bleeding AV Access
Background
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Most often occurs at dialysis center after fistula site is accessed
- Presents as punctate bleed overlying fistula. Can be slow oozing bleed from uremia or high-pressure bleed similar to arterial bleed
- Slow oozing bleed is less common in ED as hemostasis is often achieved at dialysis center
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Thrombocytopenia
Heres the no frills details behind ITP and TTP. Your board scores can thank me later.
Oncologic Emergencies
Okay, so cancer is a broad, difficult topic that I will never be able to cover in one blog post. But we just had a very informative lecture by our very own, behind enemy lines, EM/IM master: the He-Gore. So I’ll touch on a few of the possible cancer related emergencies that he helpfully walked us through.
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Sickle Cell Fever
Basics First off…what is sickle cell anemia? Who gets it? What does the spleen even do?? Calm down, we’ll get to all of that. Let’s start with. The. Basics. So……
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