A March 2021 appraisal of anticoagulation trials in critically ill patients with COVID-19. Simon Carley and Dan Horner examine therapeutic-dose versus usual-care thromboprophylaxis, organ support outcomes and bleeding, explaining why the findings cannot simply be extended to ward patients or treatment of confirmed thrombosis.
JC: Thromboprophylaxis on the ICU for COVID-19 patients. St Emlyn’s Read More
Drawing on Simon Mardel’s outbreak experience, this November 2020 article examines infection control during the second COVID-19 wave. It considers crowding, fatigue, workplace hierarchy and the systems needed to help staff protect patients and colleagues, rather than relying on individual vigilance alone.
Why infection control failures might kill your patients and colleagues. St Emlyn’s Read More
Dan Horner revisits the evidence on venous thromboembolism in COVID-19 as it stood in October 2020. The review examines how screening and case selection affect reported clot rates, the distinction between different thrombotic findings, and uncertainty around risk prediction and higher-dose anticoagulation.
VTE and COVID-19: Would you like to know more? Read More
Dan Horner reviews the 2020 NICE guidance on diagnosing and managing venous thromboembolism. The article discusses PERC, age-adjusted D-dimer, outpatient pulmonary embolism care and anticoagulant choices, including cancer-associated VTE, with attention to patient selection, bleeding risk and questions outside the guideline’s scope.
New NICE Guidelines on diagnosis and management of venous thromboembolism Read More
It is the week of the annual scientific conference for the Royal College of Emergency Medicine again. As usual the St Emlyns team is in the thick of it and
RCEM ASC 2017 – Update on the TiLLI study Read More
Been a while since we have had any clotology on here. That is unacceptable. So here we go with another journal club fest on the management of acute VTE. Now
The rise and SURPRISE of the DOACs. St.Emlyn’s Read More
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
JC: Clots in Pots gets Top Spot. Thromboprophylaxis at St.Emlyn’s Read More
Virchester has a long history of research in the ambulatory management of venous thromboembolism. Several MDs and PhDs have been completed here looking at both therapeutic and diagnostic strategies in
JC: Do all VTE patients need a CT for cancer? Read More
