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Taking aspirin before coronary artery surgery does not increase deaths or bleeding, study shows

Taking aspirin before coronary artery surgery is not associated with an increased risk of death, bleeding, or thrombotic complications, a randomised trial1 has shown. The trial showed that there was no need for patients taking aspirin to stop before cardiac surgery.  
feeds.bmj.com
over 4 years ago
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Taking aspirin before coronary artery surgery does not increase deaths or bleeding, study shows

Taking aspirin before coronary artery surgery is not associated with an increased risk of death, bleeding, or thrombotic complications, a randomised trial1 has shown. The trial showed that there was no need for patients taking aspirin to stop before cardiac surgery.  
feeds.bmj.com
over 4 years ago
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Aspirin Before CABG Does Not Increase Bleeding Risk, Says Study

"It's almost embarrassing" that this type of study hasn't been done before, said an expert about the randomized aspirin-vs-placebo trial of 2100 patients. "This is good evidence that it's safe."  
medscape.com
over 4 years ago
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Hyperbaric Oxygen Ineffective for Chronic Bowel Dysfunction?

In this randomized, sham-controlled trial, hyperbaric oxygen failed to improve chronic GI symptoms, including rectal bleeding, after curative radiation therapy for pelvic cancers.  
medscape.com
over 4 years ago
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Antiplatelet Drugs May Increase Retinal Bleeding in Wet AMD

A new study has shown a significant association between retinal hemorrhage and anticoagulant or antiplatelet use in patients who have neovascular age-related macular degeneration and hypertension.  
medscape.com
over 4 years ago
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Hemoptysis: An EM primer - emdocs

The second post in the new EM Primer Series…Ranging from benign to life-threatening etiologies, what are the pearls you need to know for hemoptysis?  
emdocs.net
over 4 years ago
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Feb 19 Cardiology News

Carotid stenting vs surgery, leadless pacing, the CMS decision on Watchman, pioglitazone after stroke, and subretinal bleeding with antithrombins are discussed by Dr John Mandrola this week.  
medscape.com
over 4 years ago
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CLEAR III: Thrombolysis Clot Removal Hope for IVH

Just inserting a drain appears to give better outcomes in patients with intraventricular hemorrhage, but further improvement was seen with tPA, especially in patients with larger clots.  
medscape.com
over 4 years ago
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Drug-Induced Bleeding

NSAIDs are known to increase the risk of bleeding, but they aren't the only class of drugs to do so. Learn the most common offenders and how to reduce risk in this article.  
medscape.com
over 4 years ago
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Early Brain CT After Headache Onset Can Rule Out Aneurysmal Hemorrhage

In patients with thunderclap headache and normal neurological exam, a normal brain computed tomography (CT) scan can rule out aneurysmal subarachnoid hemorrhage (SAH), according to new research.  
medscape.com
over 4 years ago
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Efficacy, Safety of Apixaban vs. Aspirin in the Elderly

This study compared the benefits and risks of apixaban as an alternative to aspirin in elderly patients with AF. Can it reduce the risk of stroke without increasing major bleeding?  
medscape.com
over 4 years ago
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Triple Antithrombotic Therapy After Stenting Ups Bleeding CME/CE

: Triple vs dual antithrombotic therapy after percutaneous coronary intervention for myocardial infarction is associated with an increased risk of bleeding complications.  
medscape.org
over 4 years ago
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NOACs Cut Bleeding vs Warfarin Following Acute VTE

Dr Goldhaber reviews a meta-analysis he coauthored of RE-COVER trial data suggesting that new oral anticoagulants may be a better option than warfarin for treating acute VTE.  
medscape.com
over 4 years ago
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105

ETM Podcast Episode 10 – Bruce Paix & Andrew Perry – Haemorrhage control in trauma

In this episode Andrew Perry interviews Bruce Paix, a very experienced pre-hospital/retrieval (and military) Anaesthetist and trauma expert about haemorrhage control in trauma. This is a great episode with some real pearls.  Bruce challenges the traditional teaching in trauma by asking us to not be afraid of the hypotensive trauma patient, but rather to accept……  
prehospitalmed.com
over 4 years ago
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Early Invasive ACS Strategy Best in 'After 80' Very Elderly

A rare ACS study of the oldest old suggests they enjoy much better clinical outcomes without extra bleeding when managed by early angiography and discretionary intervention vs medical management.  
medscape.com
over 4 years ago
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R.E.B.E.L. EM - Epistaxis Myths Part I - Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics? - emdocs

Traditional teaching argues that patients with nasal packs should be given prophylactic antibiotics to prevent serious infectious complications. Is there evidence to support this dogma? Read this post as Dr. Swaminathan discusses the evidence to bust this myth.  
emdocs.net
over 4 years ago
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EVARREST: Patch to Stop Difficult Bleeding During Surgery (Interview) |

Ethicon is a company that is a part of the Johnson and Johnson family of companies. Their main focus is developing new technologies to advance innovation i  
medgadget.com
over 4 years ago
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Critical Care

Heparin-induced thrombocytopenia (HIT) type II is a highly morbid and potentially life-threatening condition with limited treatment options in older patients at high risk of bleeding who develop acute kidney injury (AKI). The recent study by Tardy-Poncet et al. [1] showing that argatroban may be a safe and valid therapeutic option in this patient population is therefore of utmost clinical importance. However, when discussing other alternative therapies for HIT type II, the authors did not mention recent experience with fondaparinux, a selective synthetic antithrombin-mediated inhibitor of coagulation factor Xa [2].  
ccforum.biomedcentral.com
over 4 years ago
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Clinical Guideline on Hematuria Released by ACP

The American College of Physicians has issued high-value care advice for evaluating hematuria as a sign of cancer.  
medscape.com
over 4 years ago
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The Insurance Policy Against Bleeding: Status of Antidotes for NOACs CME

As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.  
medscape.org
over 4 years ago