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Resuscitative endovascular balloon occlusion of the aorta (REBOA): Comparison with immediate transfusion following massive hemorrhage in swine

REBOA- Who, What and Why- Deborah Stein from Social Media and Critical Care on Vimeo. Resuscitative endovascular balloon occlusion of the aorta (REBOA): Comparison with immediate transfusion following massive hemorrhage in swine  
prehospitalmed.com
almost 5 years ago
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EMA Panel Backs Two Octocog Alfa Products for Hemophilia A

Iblias and Kovaltry from Bayer Pharma AG are indicated for treatment and prevention of bleeding in patients with hemophilia A.  
medscape.com
almost 5 years ago
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NOACs in the ER: Bleeding Management and Reversal Strategies CME

This activity is intended for cardiologists, emergency department physicians, hematologists/oncologists, critical care physicians, and all those interested in the optimal management of venous thromboembolism (VTE). There are no prerequisites.  
medscape.org
almost 5 years ago
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Three-Year Major Bleeding Risk Same With Watchman or Warfarin

Patients with AF face a similar 3-year bleeding risk if they undergo left atrial appendage closure with this device or stay on long-term warfarin therapy. The CMS cautionary approach is right, two experts say.  
medscape.com
almost 5 years ago
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Antithrombotics After GI Bleeding in Patients With AF

Is it safe to resume anticoagulation therapy in patients with non-valvular atrial fibrillation who have experienced GI bleeding?  
medscape.com
almost 5 years ago
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FDA OKs First Recombinant von Willebrand Factor (Vonvendi)

The approval of Vonvendi provided an additional therapeutic option for the treatment of bleeding episodes in patients with von Willebrand disease, according to the FDA.  
medscape.com
almost 5 years ago
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Battlefield Wound Dressing (XSTAT) Okayed for Civilian Use

An expandable, multisponge dressing that controls severe bleeding will be available to civilian first responders on trauma scenes.  
medscape.com
almost 5 years ago
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Dec 4 Cardiology News

Rivaroxaban and GI bleeding, CT angiography for chest pain, long-term results of the COURAGE trial, bioprosthetic valve thrombosis, and EMR are reviewed in this week's podcast.  
medscape.com
almost 5 years ago
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3D MRI Identifies Stroke Risk in Patients With Diabetes

In patients with type 2 diabetes, intraplaque hemorrhage detected with 3-dimensional MRI can help determine the risk for stroke before any signs of stenosis are evident, new research shows.  
medscape.com
almost 5 years ago
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Are Patients with Atrial Fibrillation Being Optimally Treated? CME/CE

: New research indicates that primary care physicians underuse stroke and bleeding risk calculators for patients with atrial fibrillation but still aggressively prescribe warfarin.  
medscape.org
almost 5 years ago
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ROCKET AF Reveals Higher GI Bleeding Rates With Rivaroxaban

"Patients with GI bleeding didn't have higher HAS-BLED scores compared with those who did not bleed, and they had the same CHA2DS2-VASc scores as well," say researchers about another of their findings.  
medscape.com
almost 5 years ago
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Preterm Premature Rupture of Membranes: Diagnosis and Management - American Family Physician

Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory distress syndrome, neonatal sepsis, umbilical cord prolapse, placental abruption, and fetal death. Appropriate evaluation and management are important for improving neonatal outcomes. Speculum examination to determine cervical dilation is preferred because digital examination is associated with a decreased latent period and with the potential for adverse sequelae. Treatment varies depending on gestational age and includes consideration of delivery when rupture of membranes occurs at or after 34 weeks' gestation. Corticosteroids can reduce many neonatal complications, particularly intraventricular hemorrhage and respiratory distress syndrome, and antibiotics are effective for increasing the latency period.  
aafp.org
almost 5 years ago
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Surgery for complete rectal prolapse in adults | Cochrane

Complete, or full-thickness rectal prolapse is when the lower part of the intestine (the rectum) becomes loose and telescopes out of the anus when straining. It should not be confused with haemorrhoids (or piles), which is when the veins around the anus swell up. Rectal prolapse is most common in older people, especially women, although its cause is unclear. Rectal prolapse can cause complications, such as pain, ulcers, bleeding and faecal incontinence (inability to control bowel movements). Surgery is a common treatment for repairing the prolapse.  
cochrane.org
almost 5 years ago
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93

Abnormal Uterine Bleeding - ACOG

Abnormal uterine bleeding can have many causes: fibroids, endometrial hyperplasia, contraceptives such as IUDs, or infection. Find out more in this patient FAQ.<br/>  
acog.org
almost 5 years ago
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Replacing heparin with saline to prevent complications in long term central venous catheters in children | Cochrane

A central venous catheter (CVC) is a long, thin, flexible tube which is inserted into a large central vein. This enables access to the blood stream for people with serious medical conditions to receive medications and fluids, as well as the collection of blood specimens. Long term central venous catheters are used to access the blood system in children with complex medical conditions like cancer. To stop the catheter from becoming blocked it is usual to use heparin, a drug that prevents clots forming, to flush the catheter. However, some studies have shown that heparin is not necessary, and that normal saline (a sterile salt water solution) can be safely used instead. Heparin may be associated with complications, such as bleeding and infection, along with higher costs for health care providers. While the complications such as infections and occlusions are uncommon, practices vary around the world and there are many inconsistencies regarding the best flush solution to use to prevent complications in long term catheters.  
cochrane.org
almost 5 years ago
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Platelet transfusions are used to prevent bleeding in people with low platelet counts due to treatment-induced bone marrow failure | Cochrane

We evaluated the evidence about whether platelet transfusions given to prevent bleeding in people with lower platelet counts (for example 5 x 109/L or below) were as effective and safe as the current standard (10 x 109/L or below), or whether higher platelet count levels (20 x 109/L or below, 30 x 109/L or below, or 50 x 109/L or below) were safer than the current standard (10 x 109/L or below). Our target population was people with blood cancers (for example leukaemia, lymphoma, myeloma) who were receiving intensive (myelosuppressive) chemotherapy treatments or stem cell transplantation.  
cochrane.org
almost 5 years ago
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Restarting antithrombotic drugs after gastrointestinal haemorrhage in people with atrial fibrillation

Thromboembolic stroke due to atrial fibrillation has a high case fatality and is more disabling than stroke from other causes.1 The optimal antithrombotic strategy in atrial fibrillation is with anticoagulation,2 and although antiplatelet treatment is no longer recommended3 evidence suggests it is still used in practice.4 All antithrombotic treatments increase the risk of major bleeding (defined as requiring hospital treatment), with gastrointestinal and intracranial haemorrhage being the commonest.5 As the incidence of atrial fibrillation is increasing,6 with a major bleeding risk of 5% per year during treatment,5 there will be more and more patients with atrial fibrillation in the future with antithrombotic associated bleeding.  
feeds.bmj.com
almost 5 years ago
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Critical Care

Neurocritical care patients are at high risk for stress-related upper gastrointestinal (UGI) bleeding. The aim of this meta-analysis was to evaluate the risks and benefits of stress ulcer prophylaxis (SUP) in this patient group.  
ccforum.com
almost 5 years ago
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Stroke and recurrent haemorrhage associated with antithrombotic treatment after gastrointestinal bleeding in patients with atrial fibrillation: nationwide cohort study

Study question What are the risks of all cause mortality, thromboembolism, major bleeding, and recurrent gastrointestinal bleeding associated with restarting antithrombotic treatment after gastrointestinal bleeding in patients with atrial fibrillation?  
feeds.bmj.com
almost 5 years ago
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Restarting antithrombotic drugs after gastrointestinal haemorrhage in people with atrial fibrillation

Thromboembolic stroke due to atrial fibrillation has a high case fatality and is more disabling than stroke from other causes.1 The optimal antithrombotic strategy in atrial fibrillation is with anticoagulation,2 and although antiplatelet treatment is no longer recommended3 evidence suggests it is still used in practice.4 All antithrombotic treatments increase the risk of major bleeding (defined as requiring hospital treatment), with gastrointestinal and intracranial haemorrhage being the commonest.5 As the incidence of atrial fibrillation is increasing,6 with a major bleeding risk of 5% per year during treatment,5 there will be more and more patients with atrial fibrillation in the future with antithrombotic associated bleeding.  
feeds.bmj.com
almost 5 years ago