Archive

Medical Category: Thoracic and Respiratory

The Critical Pulmonary Embolism Patient

Background: Previously, I had given a talk on the use of thrombolytics in submassive PE in 2016. This year, I had the privilege of speaking at ACOEP 2017 again with an update on the critical pulmonary embolism patient. This post ...

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Thoracic and Respiratory

The YEARS Study – Simplified Diagnostic Approach to PE

Background: The clinical diagnosis of pulmonary embolism (PE) can be challenging given its variable presentation, requiring dependence on objective testing. Decision instruments such as PERC and the Wells’ score help stratify patients to low or high probability, enabling focused use of ...

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Thoracic and Respiratory

Safety of PE Treatment with Rivaroxaban

Background: The simplified PE Severity Index (sPESI) is one of several validated prognostic tools for acute pulmonary embolism (PE).  The European Society of Cardiology recommended the use of the sPESI to risk-stratify patients with acute PE into low risk (sPESI=0) and ...

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Thoracic and Respiratory

Episode 38 – Do All Submassive PE’s Require Treatment with Thrombolysis?

Background: There has been very little robust evidence published on the long-term outcomes of systemic thrombolysis in acute submassive PE.  Many advocate for the use of systemic thrombolysis to reduce morbidity (complications from chronic pulmonary hypertension) and mortality. The PEITHO ...

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Thoracic and Respiratory

REBEL Review 81: Lung Protective Strategy

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REBEL Reviews
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