Monday, September 30, 2013

Thrombolytic therapy for patients with submassive PE: the controversy continues

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There's a point - counterpoint in a recent issue of Chest. The bottom line is still that a general recommendation for lytic therapy in ...

Protamine dosing

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---with a focus on reversing LMWH. Via Emergency Medicine PharmD .
Sunday, September 29, 2013

Acute aortic syndrome: dissection, intramural hematoma and penetrating atheromatous ulcer

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Free full text review .
Saturday, September 28, 2013

Post MI medication dosing

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This is one of the reasons performance measures fail: Background Current performance measures for AMI are designed to improve quality by...
Friday, September 27, 2013

The electrocardiographic P wave in emphysema

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For those interested in such things here's a paper . It says that a vertical frontal plane P wave axis is characteristic. In such pati...
Thursday, September 26, 2013

Glucocorticoid use and increased VTE risk

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Here's another one to add to the list of risk factors. From the JAMA Internal Medicine paper : Design Population-based case-control ...
1 comment:
Wednesday, September 25, 2013

Right ventricular infarction

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Free full text review .
Tuesday, September 24, 2013

SIADH

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Diagnosis and treatment with a focus on the new vaptan drugs. Via Medscape .
Monday, September 23, 2013

Toward a better understanding of Takotsubo cardiomyopathy

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Case descriptions and a mini-review . 
Sunday, September 22, 2013

What if TPA is indicated in a code

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---for that strongly suspected massive PE or a STEMI that goes into PEA. Here's a quick reference .
Saturday, September 21, 2013

Very early thrombolysis in ischemic stroke

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Better outcomes were seen when treatment was given within 90 minutes of symptom onset. Report in Stroke . More from Medpage Today .
Friday, September 20, 2013

Will we use the electrocardiogram for all it's worth?

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The authors of a Special Report in Circulation are concerned about the field of electrocardiography. The beginning of the paper is inflamm...
Thursday, September 19, 2013

Heart failure care: hospitalist model associated with improvement in performance but not outcomes

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There was even a small borderline statistically significant increase in mortality associated with the hospitalist model. Article here .
Wednesday, September 18, 2013

When and if to restart warfarin after a GI bleed

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From a study in JAMA Internal Medicine : Background Patients who not only survive a warfarin-associated gastrointestinal tract bleeding (...
1 comment:
Tuesday, September 17, 2013

Unexplained failure to wean? Get to the heart of the matter.

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I've blogged before ( here , here and here ) that occult cardiac ischemia or decompensation can be the cause of failure to liberate fro...
Monday, September 16, 2013

Intensive targeting of resources to high risk heart failure patients

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---reduced readmissions in this study . Medpage Today reports the study as showing that EMRs Lower Odds of Heart Failure Readmission . But ...
Sunday, September 15, 2013

Reflections on blogging

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I missed my 8th blogiversary a few months ago. In fact I slept right through it. But recently in a reflective and expansive moment I dug ...
Saturday, September 14, 2013

Choosing wisely in hospital medicine

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The Society of Hospital Medicine has published its top 5 list : RESULTS: The 5 recommendations that were subsequently approved by the SH...
Friday, September 13, 2013

Performance measures fail

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----time and time again. That statement, which I've been making and backing up with evidence for years in these pages, is still at odds...
Thursday, September 12, 2013

Wide complex tachycardia: is it VT or not???

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This quick reference from Academic Life in Emergency Medicine combines the Brugada criteria with some others. In the comments is a link to...