Tag: CC3

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s

On June 15th 2016, I delivered an 8 minute talk arguing that we strongly consider the administration of systemic thrombolytics in patients with submassive pulmonary embolism at SMACCDub. This talk became infamous not for the

JC: Kicking against the prick: Systematic Review of stroke thrombolysis

I think it’s probably fair to say that stroke physicians and emergency physicians disagree about the utility of thrombolysis in acute ischaemic stroke. They love it, probably because of its occasionally amazing effects in restoring

JC: Does every appendicitis need admission? St.Emlyn’s

In recent years there have been great efforts amongst researchers in improving the diagnosis of appendicitis in the ED. A range of clinical risk scores, biomarkers and imaging techniques have been tested to improve our

JC: Clots in Pots gets Top Spot. Thromboprophylaxis at St.Emlyn’s

Every so often, a paper comes along that contradicts your gut feeling and/or current practice and makes you really think hard. That happened to me this weekend. You may have previously seen or heard us

JC: Reversal of DOACs with Andexanet Alfa. St.Emlyn’s

123We are in a new age of anticoagulation, Warfarin is becoming a drug of the past. To the benefit of our patients we are no longer dragging them into hospital once a week to check

Upper Gastro Intestinal Bleeding at St.Emlyn’s.

Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year

JC: Is Ketofol worth the hassle? St.Emlyn’s

We’ve been interested in Ketofol for many years in Virchester. We were early adopters as the pathopharmacological argument makes sense for patients requiring sedation for short painful procedures in the ED. A mixture of Propofol

JC: Platelets for Intracranial Haemorrhage. St.Emlyn’s

The management of stroke is one of those topics that attracts a great deal of controversy in the #FOAMed world, and with good reason. The questions around the use of thrombolysis for acute cerebral infarction,

Managing Acute Behavioural Disturbance

  A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an agitated man who was found in

Can we buy time in bleeding trauma. St.Emlyn’s.

Bleeding in trauma has had a lot of press recently. In Europe we have had several international consensus guidelines published on the topic. Unfortunately, these guidelines (published the same year) have contradicted each other a

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