Episode 89 – DOACs Part 2: Bleeding and Reversal Agents

Episode 89 – DOACs Part 2: Bleeding and Reversal Agents

In this Part 2, DOACs Bleeding and Reversal we discuss the management of bleeding in patients taking DOACs with minor risk bleeds, like epistaxis where local control is easy to access, moderate risk bleeds, like stable GI bleeds and high risk bleeds, like intracranial hemorrhage. We answer questions such as: How do we weigh the risks and benefits of stopping the DOAC? When is reversal of the DOAC is advised? How best do we accomplish the reversal of DOACs? Is there any good evidence for the newest reversal agent? When should we stop DOACs for different procedures, and when should we delay the procedure?

Avsnitt(390)

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 Feb 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 Feb 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 Jan 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 Jan 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 Dec 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 Dec 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 Dec 20151h 6min

Best Case Ever 42 Pediatric Cardiac Arrest

Best Case Ever 42 Pediatric Cardiac Arrest

When was the last time you saw ventricular fibrillation in a 4 month old? Dr. Simard tells his Best Case Ever of a Pediatric Cardiac Arrest in which meticulous preparation, sticking to his guns, early...

18 Nov 201521min

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