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Is it worth it? Then REVERSE it! Anticoagulation in the ED

Is it worth it? Then REVERSE it! Anticoagulation in the ED

by Cameron Leafloor, Courtney Price, Sam Wilson | Oct 13, 2022 | Featured, Grand Round Summaries

How many times on shift do you see a patient that is on an anticoagulant or antiplatelet agent? The answer is probably almost always. The use of these agents and their complications are extremely common. And in particular cases, such intra-cerebral hemorrhage...
Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial

Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial

by Hans Rosenberg | Nov 16, 2020 | Critical Care, Journal Club, Resuscitation, Thrombosis, Trauma

Methodology: 4/5 Usefulness: 3.5/5 Baksaas-Aasen K, et al. Intensive Care Med. 2020 Oct 13. doi: 10.1007/s00134-020-06266-1.  Question and Methods: Pragmatic, European, multi-center RCT comparing outcomes in trauma patients who received empiric massive transfusion...
A Bloody Mess: an Update on UGIB Management in the ED

A Bloody Mess: an Update on UGIB Management in the ED

by Simon Wells, Richard Hoang, Shankar Sethuraman | Sep 19, 2019 | Gastroenterology, Grand Round Summaries

Acute upper gastrointestinal bleeding (UGIB) is an all-too-frequent presentation that can scare the pants off of even the most seasoned Emergency Physician.  Severity of presentation can vary greatly, from simple bleeds related to gastritis to exsanguinating variceal...
Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors

Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors

by Hans Rosenberg | May 13, 2019 | Journal Club, Thrombosis

Journal Club Summary Methodology: 2.5/5 Usefulness: 2/5 Connolly SJ, et al. N Engl J Med. 2019 Feb 7. Question and Methods: This was the first trial looking at clinical outcomes for reversal of factor Xa inhibitor anticoagulation in major bleeding episodes using the...
Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock

Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock

by Hans Rosenberg | Feb 25, 2019 | Full Article, Journal Club, Pre-Hospital, Trauma

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5 /5 Sperry JL, et al. N Engl J Med. 2018 Jul 26;379(4):315-326.  Question and Methods: Determine the efficacy of prehospital plasma compared with standard-care resuscitation in injured patients at risk...
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