Best Case Ever 51 – Anticoagulants and GI Bleed with Walter Himmel

Best Case Ever 51 – Anticoagulants and GI Bleed with Walter Himmel

In anticipation of Episode 88 and 89: DOACs Use, Misuse and Reversal with the president of Thrombosis Canada and world renowned thrombosis researcher Dr. Jim Douketis, internist and thrombosis expert Dr. Benjamin Bell and 'The Walking Encyclopedia of EM' Dr. Walter Himmel, we have Dr. Himmel telling us the story of his Best Case Ever on anticoagulants and GI bleed. He discusses the most important contraindication to DOACs, the importance of not only attempting to reverse the effects of anticoagulants in a bleeding patient but managing the bleed itself as well as more great pearls. In the upcoming episodes we'll run through 6 cases and cover the clinical use of DOACs, how they work, safety, indications, contraindications, management of minor, moderate and severe bleeding, the new DOAC reversal agents, management of DVT with DOAC anticoagulants, stroke prevention in atrial fibrillation with DOACs and much more...

Jaksot(391)

Episode 77 Fever in the Returning Traveler

Episode 77 Fever in the Returning Traveler

In this EM Cases episode with Dr. Nazanin Meshkat, multinational ED doc and Dr. Matthew Muller, infectious disease specialist, we discuss the most common tropical disease killers that we see in patien...

1 Maalis 20161h 7min

Best Case Ever 44 Low Risk Pulmonary Embolism

Best Case Ever 44 Low Risk Pulmonary Embolism

Dr. Salim Rezaie of R.E.B.E.L. EM tells his Best Case Ever of a Low Risk Pulmonary Embolism that begs us to consider a work-up and management plan that we might not otherwise consider. With new guidel...

23 Helmi 201620min

Episode 76 Pediatric Procedural Sedation

Episode 76 Pediatric Procedural Sedation

In this EM Cases episode on Pediatric Procedural Sedation with Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, we discuss how best to manage pain and anx...

9 Helmi 201659min

Best Case Ever 43 Ruptured AAA

Best Case Ever 43 Ruptured AAA

I caught up with Dr. Anand Swaminathan, otherwise known as EM Swami, at The Teaching Course in NYC where he told his Best Case Ever from Janus General of his heroic and collaborative attempts at savin...

26 Tammi 201611min

Episode 75 Decision Making in EM – Cognitive Debiasing, Situational Awareness & Preferred Error

Episode 75 Decision Making in EM – Cognitive Debiasing, Situational Awareness & Preferred Error

While knowledge acquisition is vital to developing your clinical skills as an EM provider, using that knowledge effectively for decision making in EM requires a whole other set of skills. In this EM C...

12 Tammi 20161h 4min

Journal Jam 5 One Hour Troponin to Rule Out and In MI

Journal Jam 5 One Hour Troponin to Rule Out and In MI

Traditionally we've run at least 2 troponins 6 or 8 hours apart to help rule out MI and recently in algorithms like the HEART score we've combined clinical data with a 2 or 3 hour delta troponin to he...

22 Joulu 201545min

Episode 74 Opioid Misuse in Emergency Medicine

Episode 74 Opioid Misuse in Emergency Medicine

Pain leads to suffering. Opioid misuse leads to suffering. We strive to avoid both for our patients. On the one hand, treating pain is one of the most important things we do in emergency medicine to h...

15 Joulu 201557min

Episode 73 Emergency Management of Pediatric Seizures

Episode 73 Emergency Management of Pediatric Seizures

Pediatric seizures are common. So common that about 5% of all children will have a seizure by the time they’re 16 years old. If any of you have been parents of a child who suddenly starts seizing, you...

1 Joulu 20151h 6min

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