15 results
Patient risk stratification algorithm for the treatment of cancer-associated thrombosis.

Currently, edoxaban and rivaroxaban are the only
anticoagulant; LMWH ... body mass index; VTE ... = venous thromboembolism ... #DOAC #VTE #Malignancy
Heparin, Fondaparinux, and Novel Oral Anticoagulants - Pathophysiology

Anticoagulation with parenteral (intravenous or subcutaneous) and oral anticoagulants
the mainstay of VTE ... . heparin, LMWH, ... anticoagulant (e.g ... weight heparin (LMWH ... Pathophysiology #Heparins #LMWH
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
history of prior venous ... thromboembolism (VTE ... arterial thrombosis) Venous ... • Provoked (e.g ... - Recurrent VTE
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
clinical response (e.g ... source control (e.g ... insufficiency (venous ... . venous stasis, ... #EBM #ID #Management
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
#Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs - VT ... Tachycardias DDx = VT ... sensitive for VT ... VentricularTachycardia #Versus ... #ecg #ekg #cardiology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Echinocandins (e.g ... Tubes • Central Venous ... due to central venous ... Generally no routine TTE
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
airway resistance (e.g ... asthma), or high VE ... and decreased venous ... airway resistance (e.g ... acute scenario (e.g
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... • If central venous ... Embolus #Embolism #VTE