REBEL Core Cast 85.0 – Superficial Venous Thrombosis
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 with SVT is 25% and...
Marco Torres |
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Age-Adjusted D-Dimer, D-Dimer, PE, PERC, PERC Rule, Pulmonary Embolism, Uncategorized, Venous Thromboembolism, VTE, YEARS
The Pragmatic Combination of YEARS Score and Age-Adjusted D-Dimer
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 acceptance among emergency medicine clinicians...
Marco Torres |
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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 objective testing. Decision instruments such as PERC and the Wells’ score...
Marco Torres |
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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 of syncope ranging from the relatively benign (eg...
Marco Torres |
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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: In the US, pulmonary embolism (PE) kills 100,000...
Marco Torres |
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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 United States – making rapid and...
Marco Torres |
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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 embolism. This has allowed a reduction in D-dimer...
Marco Torres |
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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 oximetry, as part of our initial impression of the...
Marco Torres |
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Deep Vein Thrombosis, DVT, PE, Pulmonary Embolism, Rivaroxaban, Uncategorized, Venous Thromboembolism, VTE
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 patients being discharged home from the Emergency Department...
Marco Torres |
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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 (VTE). Seems like we are hearing...
Marco Torres |
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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 this would be that older...
Marco Torres |
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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. enoxaparin) overlapped with vitamin K antagonists (i.e. warfarin). This can be a...
Marco Torres |
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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-dimer has been shown to increase with...
Marco Torres |