Sep 17 2020
VTE Week | PEPCOV – COVID-19 and PE Risk in Emergency Patients
Spoon Feed
For ED patients, the probability of PE was the same in COVID-positive and COVID-negative patients. This does not apply to other hospitalized COVID-19 patient populations.
Sep 09 2020
New Leukemia Presenting as Facial Palsy In Children
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Facial nerve palsy in children may very rarely be caused by leukemia. If starting steroids, consider a CBC first.
Aug 06 2020
Brain Clot Score – Cerebral Venous Thrombosis Rule
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A new scoring system was developed fo cerebral venous thrombosis (CVT). It is not ready for implementation until externally validated, but it was encouraging that none with a score of 0-2 and D-dimer <500 had CVT.
Jul 09 2020
Get Smart on CAR-T – Spoon Feed Version
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We need to know about the adverse effects of CAR-T therapy - how to recognize and treat it emergently. Here is your guide.
Jul 01 2020
HALT-IT – TXA for GI Bleed
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TXA did not reduce mortality within 5 days in patients with upper and lower GI bleeding, but it did increase risk of venous thromboembolism.
Jun 22 2020
Is Vitamin K Needed for INR Over 10?
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In asymptomatic patients with INR>10, vitamin K administration was not associated with improved clinical outcomes.
Jun 03 2020
TXA in the Real World – More Thromboembolic Events?
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TXA administration for trauma patients in a U.S. level 1 trauma center was associated with similar overall mortality but greater risk for thromboembolic events than the original CRASH-2 cohort.
May 15 2020
Should We Rethink Pregnancy-Adapted YEARS Criteria?
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Had the pregnancy-adapted YEARS algorithm been applied in the DiPEP population, it would have missed a significant number of PEs. But there are several limitations to this study.
Apr 21 2020
Who Needs CT? Aspirin, Clopidogrel, Warfarin, or a Combination?
Spoon Feed
Patients taking warfarin or dual aspirin/clopidogrel therapy were at greater risk for significant intracranial injury on CT. Scan these folks.
Mar 17 2020
Emergency Guide to Novel Cancer Treatments
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Dozens of new therapies for hematologic malignancies have been added over the past few years. This summary is the bare minimum you must know to care for these patients.