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threatened-ab-knowledge-power

Threatened abortion is among the most common conditions in outpatient settings. The explosive growth of ultrasound imaging, and increasingly limited access to specialty care have combined to make first trimester bleeding a disease for emergency and primary care docs. Thing is, there is no therapeutic intervention that can alter the course of ‘Threatened Ab’. Which means that knowledge is our only power—the power to guide and inform.  
smartem.org
over 4 years ago
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Platelets and ddAVP in the Management of Intracranial Hemorrhage - emdocs

Platelets and ddAVP in the Management of Intracranial Hemorrhage, by Jeremy Kim MD  
emdocs.net
over 4 years ago
Eml ich answers
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Intracranial Hemorrhage, “Answers”

1. What immediate steps in management do you take when a patient with intracranial hemorrhage (ICH) exhibits signs of elevated intracranial pressure (ICP)? The immediate steps in the management of intracranial hypertension (ICP >20 mmHg for 5 minutes) in the setting of ICH follow the mantra of emergency medicine and include an evaluation and intervention…  
emlyceum.com
over 4 years ago
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Morning Report: 6/17/2014 - The Original Kings of County

A 19 year-old patient presents to your ED with a nosebleed. His friend states they were in the bleacher seats of an anime convention when he became so aroused that his nose just started gushing blood. He’s been bleeding for about 30 minutes…  
blog.clinicalmonster.com
over 4 years ago
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Anti-coagulant and Anti-platelet Reversal with intracerebral bleed

So you have a patient with intracranial bleeding or you have a high pre-ct suspicion of intracranial bleeding and they are taking coumadin, aspirin, or clopidogrel. Should you reverse them? If so, how?  
emcrit.org
over 4 years ago
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More tracheostomy emergencies... - INTENSIVE

A collection of resources for medical staff dealing with tracheostomy emergencies including obstructed, displaced and bleeding tracheostomies.  
intensiveblog.com
over 4 years ago
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Transfusions, Anticoagulants & Bleeding | Emergency Medicine Cases

Transfusions, Anticoagulants & Bleeding - Dr. Walter Himmel on indications for transfusion in GI bleeds, CAD, managing INR, TRALI, TACO, when to group & screen and much more....  
emergencymedicinecases.com
over 4 years ago
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Reversal of Bleeding Patients on Dabigatran aka Pradaxa

A compilation of how to deal with bleeding patients on the new oral anticoagulant, Dabigatran, brand name Pradaxa.  
emcrit.org
over 4 years ago
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Morning Report: 10/21/2014 - The Original Kings of County

A 19 year-old patient presents to your ED with a nosebleed. His friend states they were in the bleacher seats of an anime convention when he became so aroused that his nose just started gushing blood. He’s been bleeding for about 30 minutes…  
blog.clinicalmonster.com
over 4 years ago
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Ultrasound-Guided Hematoma Block - emdocs

Ultrasound-Guided Hematoma Block, by Stephen Alerhand MD  
emdocs.net
over 4 years ago
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Ultrasound Leadership Academy: Assessing LV Function and the RUSH Exam for Shock

We are really good at getting an ultrasound probe on your trauma patient's really fast to assess for bleeding, why not do the same when you need answers  fast in the dying medical patient?  
emcurious.com
over 4 years ago
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Bleeding and Hemophilia in the Pediatric ED

An overview on the approach to a bleeding hemophilia patient in the pediatric emergency department. Hemophilia, Pediatrics, Expert Peer Review  
aliem.com
over 4 years ago
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Morning Report: 7/31/2014 - The Original Kings of County

A 19 year-old patient presents to your ED with a nosebleed. His friend states they were in the bleacher seats of an anime convention when he became so aroused that his nose just started gushing blood. He’s been bleeding for about 30 minutes…  
blog.clinicalmonster.com
over 4 years ago
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Is Topical Tranexamic Acid Better Than Nasal Packing for Anterior Epistaxis?

Is Topical Tranexamic Acid Better Than Nasal Packing for Anterior Epistaxis?  
acepnow.com
over 4 years ago
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Prophylactic Antibiotics for Epistaxis: Where’s the Evidence? - Emergency Physicians Monthly

Epistaxis is a common problem, with a lifetime incidence of about 60%. While the majority of cases do not require medical attention, epistaxis remains a common presenting complaint in the ED.  
epmonthly.com
over 4 years ago
Epistaxis1
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Nose Bleed Epistaxis

Epistaxis is a frequent complaint. 60% of the population will suffer from a nose bleed during their lifetime, and 6% will require medical attention. Outline of diagnosis and management in the emergency department setting.  
lifeinthefastlane.com
over 4 years ago
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Management of Epistaxis - American Family Physician

Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed history and physical examination generally determine the cause of the bleeding. Both local and systemic processes can play a role in epistaxis. Nasal bleeding usually responds to first-aid measures such as compression. When epistaxis does not respond to simple measures, the source of the bleeding should be located and treated appropriately. Treatments to be considered include topical vasoconstriction, chemical cautery, electrocautery, nasal packing (nasal tampon or gauze impregnated with petroleum jelly), posterior gauze packing, use of a balloon system (including a modified Foley catheter), and arterial ligation or embolization. Topical or systemic antibiotics should be used in selected patients. Hospital admission should be considered for patients with significant comorbid conditions or complications of blood loss. Referral to an otolaryngologist is appropriate when bleeding is refractory, complications are present, or specialized treatment (balloon placement, arterial ligation, angiographic arterial embolization) is required.  
aafp.org
over 4 years ago
Eml epistaxis answers
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Epistaxis, “Answers”

 1. How do you differentiate an anterior from a posterior nosebleed? Whether you’re sitting high in the bleachers of a baseball game or treating a patient in the Emergency Department, nosebleeds can be an extremely frustrating, common, and sometimes even life-threatening disease process.  Nosebleeds have been reported to occur in over 60% of the general population…  
emlyceum.com
over 4 years ago
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Epistaxis First Aid in the ED

Here’s a little youtube video on the initial first aid management of epistaxis in the ED, with the easy to use “tongue-depressor nasal-peg”!  
edexam.com.au
over 4 years ago