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(1174)

Podcast 1019: Trauma Blunt Cardiovascular Injuries (BCVI)

Podcast 1019: Trauma Blunt Cardiovascular Injuries (BCVI)

Contributor: Aaron Lessen, MD Educational Pearls:  Blunt cerebrovascular injury (BCVI) BCVI is a traumatic injury to the carotid or vertebral arteries Patients may initially have no neurologic sy...

31 Elo 3min

Podcast 1018: Occult Ventricular Fibrillation on Echocardiography

Podcast 1018: Occult Ventricular Fibrillation on Echocardiography

Contributor: Aaron Lessen, MD Educational Pearls: Big question in cardiac arrest: is the rhythm shockable? Shockable: ventricular fibrillation (VF) and pulseless ventricular tachycardia Non-sho...

24 Elo 2min

Podcast 1017: CPR Hand Placement

Podcast 1017: CPR Hand Placement

Contributor: Taylor Lynch, MD Educational Pearls:  CPR is an important life-saving measure designed for anyone to perform. Chest compressions works by two mechanisms:  Cardiac pump: Direct squ...

17 Elo 2min

Podcast 1016: Hypokalemia

Podcast 1016: Hypokalemia

Contributor: Meghan Hurley, MD Educational Pearls: What is hypokalemia? Hypokalemia is when the measured blood level of potassium falls below 3.5 mEq/L (normal 3.5 - 5.2 mEq/L).  Can generally be ...

10 Elo 6min

Podcast 1015: Calcium in Hyperkalemia

Podcast 1015: Calcium in Hyperkalemia

Contributor: Meghan Hurley, MD Educational Pearls: What is hyperkalemia? Hyperkalemia is when the measured blood level of potassium reaches above 5.2 - 5.5 mEq/L (normal 3.5 - 5.2 mEq/L).  What ar...

3 Elo 7min

Podcast 1014: Eating and Drinking on Shift

Podcast 1014: Eating and Drinking on Shift

Contributor; Aaron Lessen, MD Educational Pearls: A 2026 survey asked Canadian emergency medicine (EM) physicians about their eating and drinking habits while on shift. Among 527 respondents, 35%...

27 Heinä 2min

Podcast 1013: Thoracotomy Indications

Podcast 1013: Thoracotomy Indications

Contributor; Taylor Lynch, MD Educational Pearls: Thoracotomy  Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest. Goals include identif...

20 Heinä 3min

Podcast 1012: Meth Sedation

Podcast 1012: Meth Sedation

Contributor: Aaron Lessen, MD Educational Pearls:    Agitated patients who are intoxicated with methamphetamine pose a unique challenge when selecting a sedative to counter their symptoms. Is there ...

13 Heinä 1min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
rss-poliisin-mieli
rss-duodecim-lehti
rss-ruoka-murroksessa
utelias-mieli
hippokrateen-vastaanotolla
rss-hereilla
rss-kova-luonto
rss-mika-kestaa
filocast-filosofian-perusteet
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-totuuden-liepeilla
rss-tervetuloa-tervemenoa