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Medical Category: Hematology and Oncology

Rebellion21 – “HALT IT” In the Name of Evidence via J Scott Wieters, MD

In this 20-minute presentation from Rebellion in EM 2021, Dr. J Scott Wieters, MD discusses the evidence for and against the use of tranexamic acid for hemorrhage alleviation in gastrointestinal bleeding by doing a critical appraisal of the HALT-IT trial.

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Abdominal and GastroinstestinalHematology and Oncology

COVID-19 and Anticoagulation: Full Dose or Prophylactic Dose?

Background: Patients with COVID-19 are at a high risk for the development of venous thromboembolic disease [Link is HERE]. Alveolar capillary microthrombi appear to be 9x more prevalent in patients with COVID-19 compared to H1N1. As a result, enhanced-dose anticoagulation …

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Hematology and Oncology

REBEL Core Cast 62.0 – Hemophilia

Take Home Points Infuse factor first, investigate later Treat when bleeding is suspected, not confirmed. Have a low threshold! It is better to over treat than undertreat. Give full dose when in doubt Factor 8 = 50U/kg Factor 9 = …

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Hematology and Oncology

REBEL Core Cast 50.0 – 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 5%, respectively.

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Hematology and Oncology

Hemophilia: For the Love of Bleeding

As EM physicians, we are taught how to manage and treat many serious and life threatening conditions, most of them we know like the back of our hands, and some we look up on shift. The most important things to …

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Hematology and Oncology

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