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Specialty: Emergency Medicine
Condition: Bleeding
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Total 109 results found since Jan 2013.
Influence of frailty on anticoagulant prescription and clinical outcomes after 1-year follow-up in hospitalised older patients with atrial fibrillation
AbstractFrailty is an important prognostic factor in older adults with cardiovascular diseases. We aim to describe the characteristics of elderly hospitalised frail patients with non-valvular atrial fibrillation (NVAF) and to assess the influence of frailty, along with other functional and health status variables on anticoagulation prescription, 1-year all-cause mortality, and the incidence of ischemic and bleeding complications. An observational, prospective multicentre study was carried out on patients with NVAF over the age of 75, who were admitted to the Internal Medicine departments in Spain. A total of 615 patients w...
Source: Internal and Emergency Medicine - September 6, 2018 Category: Emergency Medicine Source Type: research
In Loudon County, Tenn., Priority Ambulance Trains More Than 110 Residents to Stop the Bleed
Last week, Priority Ambulance and Fort Loudoun Medical Center observed the national Stop the Bleed initiative with training events and donations that targeted Loudon County schools and the general public.
In total, more than 110 Loudon County community members were trained in lifesaving bleeding control techniques, including 40 teachers who serve as a medical first response team at each high school. Priority Ambulance and Fort Loudoun also donated bleeding control kits, which include gauze, gloves, tourniquet and trauma shears, to each public and private elementary, middle and high school in Loudon County. The kits will be...
Source: JEMS: Journal of Emergency Medical Services News - April 3, 2018 Category: Emergency Medicine Authors: Priority Ambulance Tags: News Administration and Leadership Source Type: news
Severe Symptoms, but a Truly Treatable Disease
BY NOURA MAHDI; DARRON LEWIS; JEREMY OSBORNE; & AHMED RAZIUDDIN, MDA 73-year-old man was brought to the emergency department from his nursing home for rectal bleeding and anemia. The patient mentioned he had had episodes of bright red rectal bleeding and constipation for a few months. A colonoscopy had been done prior to the visit, which revealed a large intestine tumor and biopsy confirming adenocarcinoma. He was awaiting an appointment with his surgeon.The patient reported bloody rectal leakage, and a CBC done at the nursing home showed a hemoglobin level of 7.2. He also complained of dyspnea but denied any other ...
Source: The Case Files - March 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research
The Role of Thromboelastography Testing in the Emergency Medicine, Trauma Center, and Critical Care Environments
AbstractPurpose of ReviewThromboelastography (TEG) has been gaining attention for its potential use in a variety of disease of states to guide therapies and determine prognosis. This review will explore recent research specifically regarding the use of thromboelastography in the emergency, trauma, and critical care clinical environments.Recent FindingsThromboelastography has its drawbacks. TEG has wide operator and machine variability. Known coagulopathic states may exhibit normal viscoelastic results, indicating inconsistent results. Thromboelastography has shown to decrease transfusion of blood products in traumatic hemo...
Source: Current Emergency and Hospital Medicine Reports - February 15, 2018 Category: Emergency Medicine Source Type: research
Is it an Emergency? Insurer Asks Patients to Question ED Visits
INDIANAPOLIS (AP) — Alison Wrenne was making waffles for her two young children one morning when abdominal pain forced her to the floor. A neighbor who is a physician assistant urged her to go to the emergency room.
Wrong decision, according to her health insurer. Wrenne was diagnosed with a ruptured ovarian cyst, but Anthem said that wasn't an emergency and stuck her with a $4,110 bill.
"How are you supposed to know that?" said the 34-year-old from Lexington, Kentucky. "I'm not a doctor ... that's what the emergency room is for."
In an effort to curb unnecessary and costly ER visits, the Blue Cross-B...
Source: JEMS Administration and Leadership - November 10, 2017 Category: Emergency Medicine Authors: Tom Murphy, Associated Press Tags: Patient Care News Administration and Leadership Source Type: news
Direct Oral Anticoagulant or Warfarin Related Major Bleeding
Recent years have marked the development of antithrombotic agents besides warfarin in the prevention of stroke in patients with atrial fibrillation. Initial studies have demonstrated equal or lower mortality following major bleeding related to Direct Oral Anticoagulants (DOACs) when compared with warfarin despite the lack of reversal agents early on. A major limitation of these studies was a low rate of warfarin reversal (
Source: The Journal of Emergency Medicine - November 1, 2017 Category: Emergency Medicine Authors: Tara Garland Tags: Abstract Source Type: research
Systemic Thrombolysis, Catheter ‐Directed Thrombolysis, and Anticoagulation for Intermediate‐risk Pulmonary Embolism: A Simulation Modeling Analysis
ConclusionIn our model, for those eligible, CDT results in the largest number of QALYs for patients with intermediate‐risk PE, although it is relatively expensive and the absolute difference in QALYs between anticoagulation alone and CDT is small. Future studies that provide data on longitudinal quality‐of‐life outcomes of patients treated for PE and characteristics of CDT would be beneficial to augment model inputs, inform assumptions, and validate results.
Source: Academic Emergency Medicine - September 13, 2017 Category: Emergency Medicine Authors: Christopher Kabrhel, Ayman Ali, Jin G. Choi, Chin Hur Tags: Original Contribution Source Type: research
