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Tactical Medicine News

The Pragmatic Combination of YEARS Score and Age-Adjusted D-Dimer

by Marco Torres
Jan 24, 2022
Background: The optimal approach to risk stratifying patients for pulmonary embolism (PE) remains elusive. Multiple decision instruments are availa...
Tactical Medicine News

Pregnancy-Adapted YEARS Algorithm for PE – Ready for Prime Time?

Background: The clinical diagnosis of pulmonary embolism (PE) can be challenging given its variable presentation, thus requiring dependence on obje...
Tactical Medicine News

The True Prevalence of PE in ED Syncope Patients

Background: Syncope, defined as a transient loss of consciousness with a complete recovery, is a common ED presentation. There are numerous causes ...
Tactical Medicine News

Classic Journal Review – Wells + Dimer to Rule Out PE

EM Journal Update: Safety of Using Wells’ Clinical Model With D-Dimer To Manage Patients In The ED With Suspected Pulmonary Embolism Background: I...
Tactical Medicine News

D-Dimer and Pregnancy: The DiPEP Study

Background: Pulmonary embolism is the leading cause of death in pregnancy and the puerperium – accounting for nearly 20% of maternal deaths in the ...
Tactical Medicine News

Altitude Adjusted PERC Oxygen Saturation

The PERC rule has been a welcome addition to the emergency department evaluation of patients with chest pain or dyspnea suspected of pulmonary embo...
Tactical Medicine News

Normalization of Vital Signs Does Not Reduce the Probability of Pulmonary Embolism

Background: In patients with symptoms of pulmonary embolism (PE), we often turn to vital signs, including heart rate, respiratory rate and pulse...
Tactical Medicine News

Should I Stay or Should I Go: Outpatient Treatment of Venous Thromboembolism

Background: The care of venous thromboembolism (VTE) is currently undergoing a paradigm shift in the US with an increasingly large percentage of pa...
Tactical Medicine News

REBEL Cast Episode 16: Home Treatment of VTE with Rivaroxaban & RV Dilation on Bedside Echo

Welcome to the September 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Venous Thromboembolism (VT...
Tactical Medicine News

Update on Age-Adjusted D-Dimer

D-dimer has been shown to increase with age, which can cause a lower specificity (i.e. more false positive tests) in older patients. The result of ...
Tactical Medicine News

Rivaroxaban for Treatment of Symptomatic Pulmonary Embolism

Typically, the treatment of acute pulmonary embolism consists of administration of unfractionated heparin or low molecular weight heparin (i.e. eno...
Tactical Medicine News

Age Adjusted D-Dimer Testing

D-dimer testing is sensitive for thrombus formation, and in patients who are not high risk, this test is used to rule-out venous thromboembolism. D...
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