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Drug: Aspirin

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Total 9959 results found since Jan 2013.

Concomitant Aspirin and Anticoagulation Is Associated With Increased Risk for Major Bleeding in Surgical Patients Requiring Postoperative Intensive Care*
Conclusions: Concomitant aspirin and anticoagulation in critically ill surgical patients was associated with an increased rate of major bleeding. Future investigations are warranted to further define optimal management of antiplatelet therapy during anticoagulation in surgical patients.
Source: Critical Care Medicine - June 20, 2020 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Time to treatment in patients of suspected acute coronary syndrome in Pakistan: A clinical audit
Conclusion Findings warrant exploring interventions to improve TT for ACS care in resource-limited settings.
Source: Heart and Lung: The Journal of Acute and Critical Care - November 4, 2014 Category: Respiratory Medicine Source Type: research

Managing the acute coronary syndrome patient: Evidence based recommendations for anti-platelet therapy
This article summarizes recent updates to American College of Cardiology Foundation/American Heart Association guidelines for the management of unstable angina (UA)/non ST-segment elevation ACS (NSTE-ACS) and ST-segment elevation myocardial infarction (STEMI), focusing on antiplatelet therapy. Dual antiplatelet therapy comprising aspirin plus a P2Y12 inhibitor (clopidogrel, prasugrel, or ticagrelor) is recommended for patients with NSTE-ACS, and those with STEMI both during and after reperfusion. The guidelines provide recommendations regarding the utilization of P2Y12 inhibitors in specific circumstances and are discussed...
Source: Heart and Lung: The Journal of Acute and Critical Care - January 26, 2015 Category: Respiratory Medicine Source Type: research

Where is Relationship, Authority, and Trust in Health Care Today?
By HANS DUVEFELT MD  Healthcare is on a different trajectory from most other businesses today. It’s a little hard to understand why. In business, mass market products and services have always competed on price or perceived quality. Think Walmart or Mercedes-Benz, even the Model T Ford. But the real money and the real excitement in business is moving away from price and measurable cookie cutter quality to the intangibles of authority, influence and trust. This, in a way, is a move back in time to preindustrial values. In primary care, unbeknownst to many pundits and administrators and unthinkable for most of the health t...
Source: The Health Care Blog - December 28, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians ACOs doctor/ patient relationship Hans Duvefelt healthcare costs healthcare quality primary care Source Type: blogs

Antiplatelet therapy: a double-edged sword in head injury?
Antiplatelet therapy for the treatment of cardiovascular diseases is common in the ageing population. Whether this therapy exacerbates brain injury after head trauma is an important, but unsettled, topic. In this issue of Critical Care, Fabbri and colleagues address the question of whether pre-injury intake of antiplatelet medication increases the risk profile of patients with posttraumatic intracranial lesions after head trauma. Antiplatelet medication, and in particular clopidogrel, increased the risk for haematoma progression, need for neurosurgical intervention and an unfavourable outcome. Clinicians should consider th...
Source: Critical Care - April 23, 2013 Category: Intensive Care Authors: Christopher BeynonOliver Sakowitz Source Type: research

Aspirin Therapy in Patients With ARDS and Reduced ICU MortalityAspirin Therapy in Patients With ARDS and Reduced ICU Mortality
Does an aspirin a day keep ICU patients alive? Critical Care
Source: Medscape Today Headlines - May 21, 2015 Category: Consumer Health News Tags: Critical Care Journal Article Source Type: news

 Clinical characteristics of liver failure from a systemic cause: A report from an advanced critical care center.
CONCLUSION: In this study, among the patients with ALF other than fulminant hepatitis, those with a high SOFA score on admission exhibited a poor prognosis. In addition, oral warfarin use prior to disease onset was found to be a factor which indicated a good prognosis. PMID: 26845603 [PubMed - as supplied by publisher]
Source: Annals of Hepatology - February 5, 2016 Category: Gastroenterology Tags: Ann Hepatol Source Type: research

Use of continuous renal replacement therapy in salicylate toxicity: A case report and review of the literature
Discussion Cited reasons for the use of CRRT for salicylate toxicity primarily have been hypotension or desire for ongoing augmentation of salicylate clearance in the setting of multiorgan toxicity. CVVHDF may have a role in severe salicylate toxicity to enhance ongoing clearance after an initial round of HD in order to prevent significant rebound.
Source: Heart and Lung: The Journal of Acute and Critical Care - August 13, 2016 Category: Respiratory Medicine Source Type: research

Understand EMS' Role in the Chain of Care
EMTs and paramedics work in a world that can go from absolute boredom to sheer panic in mere moments. To be successful in EMS, these same clinicians must learn to make decisions in what some call a "non-history-taking environment," meaning they generally know very little about the patients they treat. Most calls allow very little time to gather information, synthesize what was learned, and then apply the appropriate treatment before sending patients down the road to become a distant memory, or even forgotten. All too often, EMS clinicians are only concerned about what's happening while they're providing direct ca...
Source: JEMS Patient Care - April 6, 2015 Category: Emergency Medicine Authors: Steven C. LeCroy, MS, CRTT, EMT P Tags: Administration and Leadership Patient Care Source Type: news

General anaesthesia for ophthalmic surgery
Publication date: Available online 25 November 2016 Source:Anaesthesia & Intensive Care Medicine Author(s): Nicholas C.B. Pritchard Local anaesthesia for eye surgery is increasingly popular, but there will always be a need for general anaesthesia. Patients may refuse local anaesthesia, may be unable to keep still or lie flat for the duration of surgery or lack the mental facility to cooperate whilst awake. Young children and those with allergy to local anaesthetic also need general anaesthesia. Careful patient preparation is important before surgery. Glycaemic control in patients with diabetes, adjustments to warf...
Source: Anaesthesia and intensive care medicine - November 24, 2016 Category: Anesthesiology Source Type: research

Changes in cardiovascular care provision after the Affordable Care Act.
CONCLUSIONS: Provision of cardiovascular preventive care increased for some USPSTF-recommended services following enactment of the ACA, with evidence of a sex disparity in aspirin use. Other complementary policy approaches may further enhance uptake of evidence-based clinical preventive services. PMID: 29182357 [PubMed - in process]
Source: The American Journal of Managed Care - November 1, 2017 Category: Health Management Authors: Ladapo JA, Chokshi DA Tags: Am J Manag Care Source Type: research

All-Cause and Cardiovascular Mortality in Middle-Aged People With Type 2 Diabetes Compared With People Without Diabetes in a Large U.K. Primary Care Database.
CONCLUSIONSDespite efforts to manage risk factors, administer effective treatments, and develop new therapies, middle-aged people with type 2 diabetes remain at significantly increased risk of death. PMID: 23435157 [PubMed - as supplied by publisher]
Source: Diabetes Care - February 22, 2013 Category: Endocrinology Authors: Taylor KS, Heneghan CJ, Farmer AJ, Fuller AM, Adler AI, Aronson JK, Stevens RJ Tags: Diabetes Care Source Type: research

All the Lonely People: Primary Care isn ’t a Team Sport Anymore, We’re Only Interacting with Our Computers
BY HANS DUVEFELT In spite of all the talk these days about health care teams and in spite of more and more physicians working for bigger and bigger healthcare organizations, we are becoming more and more isolated from our colleagues and our support staffs. Computer work, which is taking more and more time as EMRs get more and more complex, is a lonely activity. We are not just encouraged but pretty much forced to communicate with our nurses and medical assistants through computer messaging. This may provide more evidence of who said or did what at what point in time, but it is both inefficient and dehumanizing. Wh...
Source: The Health Care Blog - September 7, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice EMR Hans Duvefelt primary care Professional Isolation Social Isolation Source Type: blogs

The LITFL Review 091
Welcome to the in-depth 91st edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week  EKG Videos This weeks ripper is taken out by the master of ECG’s Amal Mattu. Each week he puts out a n...
Source: Life in the Fast Lane - January 15, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

Tropical Travel Trouble 010 Fever, Arthralgia and Rash
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs