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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

Click here for Direct Download of the Podcast Paper: Aykan AC et al. Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE? Clin Exp Emerg Med 2023. CHEST 2010.

Stroke 133
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Grand Rounds Recap 4.26.23

Taming the SRU

Generally accepted (and some airlines spell it out) that they are assuming the liability even for you helping Documentation: To protect yourself (and the airline), will/should make documentation of what happened. hours earlier and went to OR 3.5 hours earlier and went to OR 3.5 Each airline generally has their own protocol.

OB/GYN 52
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How to prevent central line infections

PulmCCM

Download the central line checklist from John Hopkins here. Most central lines in the ICU are placed under ultrasound guidance in the internal jugular vein, representing a perceived middle ground of risk for pneumothorax and infection prevention. rate of pneumothorax requiring a chest tube — about one in every 67 patients.

CDC 52
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. If the trauma center performed screening ultrasounds to evaluate for asymptomatic DVTs, they were not included in this study.

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Sickle Cell Disease Module

Don't Forget the Bubbles

However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. The high blood flow velocities through these stenotic segments can be detected using transcranial doppler ultrasound (TCD). 2019, 3 rd edition.

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NIPE

Mind The Bleep

Bruising- this can be common after a vaginal or instrumental birth or in babies who are large for gestational age, and should be documented carefully. The uvula can be difficult to visualise at times so document carefully that the palate has not been fully examined so that the GP can have a close look at the 6-8 week check.