Fixed-Dose PCC Dosing for Vitamin K Antagonist-Associated Hemorrhage: Is it Safe and Effective?
What is the literature behind fixed-dose PCC for reversal of vitamin K antagonist-associated bleeding? Can you use this for your next shift?
hematology
Medical Malpractice Insights: Undiagnosed Hemorrhage while on Warfarin
This month’s Medical Malpractice Insights from Dr. Pilcher brings you a tough case of a fall and undiagnosed hemorrhage in a patient on warfarin.
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R.E.B.E.L. EM – Tranexamic Acid (TXA) for Everything that Bleeds?
Fast forward to today and we are finding all kinds of uses for TXA other than trauma including post-partum hemorrhage, epistaxis, hemoptysis, gastrointestinal hemorrhage, and many more.
R.E.B.E.L. EM – Tranexamic Acid (TXA) for Everything that Bleeds? Read More »
EM@3AM: Pancytopenia
A 36-year-old male with a history of HIV presents to the ED complaining of dyspnea on exertion and fatigue. He is not compliant with his anti-retroviral medications. His conjunctivae are pale. There is a painful ulcer to the distal aspect of the tongue and scattered petechiae on his legs. Laboratory evaluation reveals WBC 2,000/microL, Hgb 8.5 g/dL, and platelets 90,000/microL. What do the exam and lab findings suggest?
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Whole Blood in Trauma: Ready for Primetime?
Is whole blood ready for routine use in trauma? What is the evidence behind it? This post evaluates whole blood and provides a glimpse into a currently-used protocol.
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EM Boards Survival Guide: Hematology/Oncology 1
Hematology and Oncology can be difficult topics for the boards/inservice exams. This Survival Guide provides you with several great resources to keep you updated.
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EM@3AM: Idiopathic Thrombocytopenic Purpura
A 72-year-old male presents with fatigue for months. He sometimes has prolonged bleeding when he brushes his teeth. He denies weight loss, night sweats, or any other symptoms apart from his fatigue. He has no significant past medical or surgical history, and his VS are normal. Exam is unremarkable except for one hemorrhagic bullae on his oral mucosa. He has no lymphadenopathy or hepatosplenomegaly. What are the next steps in management?
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Sudden Abdominal Pain with a Palpable Mass: Respectus the Rectus
How should you evaluate and manage the patient with possible rectus sheath hematoma? This post from Dr. Baker and Dr. Yang provides you with pearls and pitfalls for this condition.
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Managing Hemophilia in the ED: All Bleeding Stops Eventually
Do you know what to do with the bleeding patient with hemophilia? This post provides key information on management of the hemophiliac.
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EM in 5: NOACs – Novel Oral Anticoagulants
emDOCs would like to introduce a new series in association with creator and founder of EM in 5, Dr. Anna Pickens! We will be hosting videos from Dr. Pickens with links to further reading to provide focused visual and audio learning for those with a short time to obtain what you need for your next shift. Today EM in 5 covers NOACs.
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