REBEL Core Cast 85.0 – Superficial Venous Thrombosis
July 20, 2022
Take Home Points SVT >5cm or <3 cm from the SFJ should be treated with anti-coagulation. The rate of concurrent DVT and PE in patients...
Marco Torres
The Pragmatic Combination of YEARS Score and Age-Adjusted D-Dimer
January 24, 2022
Background: The optimal approach to risk stratifying patients for pulmonary embolism (PE) remains elusive. Multiple decision instruments are available with varying degrees of complexity and...
Pregnancy-Adapted YEARS Algorithm for PE – Ready for Prime Time?
August 15, 2019
Background: The clinical diagnosis of pulmonary embolism (PE) can be challenging given its variable presentation, thus requiring dependence on objective testing. Decision instruments such as...
The True Prevalence of PE in ED Syncope Patients
February 11, 2019
Background: Syncope, defined as a transient loss of consciousness with a complete recovery, is a common ED presentation. There are numerous causes of syncope ranging...
Classic Journal Review – Wells + Dimer to Rule Out PE
September 3, 2018
EM Journal Update: Safety of Using Wells’ Clinical Model With D-Dimer To Manage Patients In The ED With Suspected Pulmonary Embolism Background: In the US,...
D-Dimer and Pregnancy: The DiPEP Study
March 19, 2018
Background: Pulmonary embolism is the leading cause of death in pregnancy and the puerperium – accounting for nearly 20% of maternal deaths in the United...
Altitude Adjusted PERC Oxygen Saturation
March 27, 2017
The PERC rule has been a welcome addition to the emergency department evaluation of patients with chest pain or dyspnea suspected of pulmonary embolism. This has...
Normalization of Vital Signs Does Not Reduce the Probability of Pulmonary Embolism
February 9, 2017
Background: In patients with symptoms of pulmonary embolism (PE), we often turn to vital signs, including heart rate, respiratory rate and pulse oximetry, as part of...
Should I Stay or Should I Go: Outpatient Treatment of Venous Thromboembolism
December 5, 2016
Background: The care of venous thromboembolism (VTE) is currently undergoing a paradigm shift in the US with an increasingly large percentage of patients being discharged...
REBEL Cast Episode 16: Home Treatment of VTE with Rivaroxaban & RV Dilation on Bedside Echo
September 7, 2015
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 (VTE)....
Update on Age-Adjusted D-Dimer
July 11, 2014
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...
Rivaroxaban for Treatment of Symptomatic Pulmonary Embolism
May 26, 2014
Typically, the treatment of acute pulmonary embolism consists of administration of unfractionated heparin or low molecular weight heparin (i.e. enoxaparin) overlapped with vitamin K antagonists (i.e....