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Fibrinolysis in Acute Pulmonary Embolism

Fibrinolysis in Acute Pulmonary Embolism

by Mike Hickey, Peter Reardon | Sep 11, 2018 | Critical Care, Featured

Systemic fibrinolysis (SF) in acute pulmonary embolism (PE) remains a hot topic in acute care medicine. This post will examine the available literature regarding the use of SF in different subtypes of PE. Before examining the literature, we first must review the...
Getting it ‘Right’: Pulmonary Hypertension in the ED

Getting it ‘Right’: Pulmonary Hypertension in the ED

by emottawa | Aug 10, 2017 | Featured, Grand Round Summaries, Respirology

Describe the pathophysiology of Pulmonary Hypertension (PH), and how it can be dangerous Who to suspect and workup for PH in the ED Describe the POCUS findings in PH Describe the management of these patients and how to avoid causing harm Physiology Definition...
Focus on POCUS: Subacute, Progressive Dyspnea while Swimming

Focus on POCUS: Subacute, Progressive Dyspnea while Swimming

by emottawa | Apr 11, 2017 | Ultrasound

A male in his 60’s presents with progressive dyspnea on exertion x 1 month starting while he was swimming in the ocean. He had not been diving.  He has no significant medical history and takes no medications. Two weeks after the onset of symptoms the patient had seen...
Focus on POCUS: Pleuritic Chest Pain with Tachycardia – Pericarditis or PE?

Focus on POCUS: Pleuritic Chest Pain with Tachycardia – Pericarditis or PE?

by emottawa | Feb 21, 2017 | Ultrasound

A young, previously healthy male in his 30s presents to the ED from his family physicians office with chest pain and an abnormal ECG. He has a 3-4 day history of non-radiating upper back pain and sensation of chest tightness that is pleuritic in nature and worse when...

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

by emottawa | Dec 5, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5               Usefulness Score:  2/5 Prandoni P, et al. N Engl J Med. 2016 Oct 20;375(16):1524-1531.   Full Article   This cross-sectional multi-center study of Italian patients admitted after an ED presentation for...
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