Podcast 873: Intravesical Tranexamic Acid for Gross Hematuria

Podcast 873: Intravesical Tranexamic Acid for Gross Hematuria

Contributor: Aaron Lessen MD

Educational Pearls:

  • Tranexamic acid (TXA) is a common medication to achieve hemostasis in a variety of conditions

  • Patients visiting the ED for gross hematuria (between March 2022 and September 2022) were treated with intravesical TXA

    • 1 g tranexamic acid in 100 mL NS via Foley catheter

    • Clamped Foley for 15 minutes

    • Subsequent continuous bladder irrigation, as is standard in most EDs

  • Compared with a cohort of patients visiting the ED for a similar concern between March 2021 and September 2021, the TXA patients had:

    • A shorter median length of stay in the ED (274 min vs. 411 mins, P < 0.001).

    • A shorter median duration of Foley catheter placement (145 min vs. 308 mins, P < 0.001)

    • Fewer revisits after ED discharge (2.3% vs. 12.3%, P = 0.031)

References

1. Choi H, Kim DW, Jung E, et al. Impact of intravesical administration of tranexamic acid on gross hematuria in the emergency department: A before-and-after study. Am J Emerg Med. 2023;68:68-72. doi:10.1016/j.ajem.2023.03.020

Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit, OMSII

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(1166)

Podcast 1011: Creepy Crawlies

Podcast 1011: Creepy Crawlies

Contributor: Meghan Hurley, MD Educational Pearls: What animal is the most lethal to humans?  Depending on how we define lethal, and animal, this answer is actually not straight forward.  Globall...

6 Heinä 7min

Podcast 1010: First Pass Intubation Success

Podcast 1010: First Pass Intubation Success

Contributor: Travis Barlock, MD Educational Pearls:   First-pass success is critical to limit complications from apnea, hypoxia, and airway trauma.  Complication rate for patients intubated on the f...

29 Kesä 3min

On the Streets- Zero to Rodeo

On the Streets- Zero to Rodeo

Dan Orbidan, OMS-II and Dr. Travis Barlock, MD discuss a real out of hospital call. This episode covers the implications of a pharmacologically abnormal patient presentation and the pre and post hospi...

22 Kesä 35min

Carepoint Journal Club- Neurology

Carepoint Journal Club- Neurology

Carepoint Journal Club is a quarterly series with discussions about a medical topic, brought to you by Carepoint's Emergency Physicians.

15 Kesä 36min

Podcast 1009: Prevention for Recurrent UTI

Podcast 1009: Prevention for Recurrent UTI

Contributor: Aaron Lessen, MD Educational Pearls:   UTIs are commonly seen in older women We often see them taking long-term prophylactic antibiotics because of common recurrence. Around 20-30% of...

8 Kesä 1min

Podcast 1008: Acupuncture for Low Back Pain in Older Adults

Podcast 1008: Acupuncture for Low Back Pain in Older Adults

Contributor: Aaron Lessen, MD Educational Pearls:  Back pain is a common presenting complaint in the emergency department. Challenges arise when tailoring care to elderly populations using standar...

1 Kesä 2min

Podcast 1007: Caffeine Pharmacology

Podcast 1007: Caffeine Pharmacology

Contributor: Travis Barlock, MD Educational Pearls:   Caffeine Geography and Types: Caffeine is found throughout the world and has evolved independently in various plants that are not evolutionarily...

25 Touko 4min

Podcast 1006: Cannabinoid Pharmacology

Podcast 1006: Cannabinoid Pharmacology

Contributor: Travis Barlock, MD Educational Pearls:   Endocannabinoid System: THC binds CB1 and CB2 receptors in neurons and immune cells Δ9-Tetrahydrocannabinol (THC) is the main psychoactive compo...

18 Touko 5min

Suosittua kategoriassa Tiede

rss-mita-tulisi-tietaa
utelias-mieli
hippokrateen-vastaanotolla
filocast-filosofian-perusteet
rss-ammamafia
rss-tiedetta-vai-tarinaa
docemilia
tiedekulma-podcast
ihanat-ipanat
radio-antro
rss-bios-podcast
rss-vaasan-yliopiston-podcastit
rss-duodecim-lehti
rss-hereilla
rss-totuuden-liepeilla