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Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about?

In Blood & Clots, Medical Concepts by Andrew Shih1 Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert, Communicator, Leader Case Description You are a resident physician rotating through the ICU. You’ve been taking care of a 32-year-old woman who sustained injuries in a high-speed motor vehicle collision two days ago. She is now stable and extubated in the ICU. Her hemoglobin has been stable in the 80s since arriving in the ICU …

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Blood and Clots Series: Massive transfusion protocol: what is it, why does it exist, and when should I call one?

In Blood & Clots, Medical Concepts by Andrew ShihLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert Case Description  A 32-year old woman presents to the ED following a motor vehicle collision with lateral impact (T-bone collision) and is brought into the trauma bay. Significant bleeding was reported on scene and the patient arrives looking diaphoretic, pale, and unwell. Vitals in the trauma bay are BP 104/64 mmHg, HR 128, RR 22 …

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Blood and Clots Series: Does my complex patient have DIC?

In Blood & Clots, Medical Concepts by Andrew ShihLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Expert Case Description You are seeing a 56M in your critical care suite who has just arrived as a transfer from a peripheral hospital.  The patient has had a recent diagnosis of acute leukemia and was given chemotherapy and a recent stem cell transplant 20 days ago at this hospital.  When he started getting sicker, they requested …

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Blood and Clots Series: What are the risks of reversing DOAC-associated intracranial bleeding?

In Blood & Clots, Medical Concepts by Andrew Shih1 Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert Case Description You are seeing a 54F in the emergency department after she sustained a mechanical fall. She struck her head on the pavement and is now confused. Her comorbidities include: hypertension, diabetes mellitus, and atrial fibrillation.  She has been taking rivaroxaban 20 mg daily for three years without incident. Her complete blood count (CBC) …

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Blood and Clots Series Quizlet 5: Should I Screen my Patient for Occult Cancer After Unprovoked VTE?

In Blood & Clots, Medical Concepts by Andrew ShihLeave a Comment

Hello Blood & Clots/CanadiEM community! Before we post our blog series on thrombosis and bleeding, we encourage you to test your initial knowledge by going through a few brief case scenarios. These cases were originally posted as part of our needs assessment in Fall 2016, and you can find the answers after each question below. The first few quizlets can be found here: Quizlet 1, Quizlet 2, Quizlet 3, Quizlet 4. All the …

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Blood and Clots Quizlet 4: Antithrombotic Therapy for Atrial Fibrillation

In Blood & Clots, Medical Concepts by Andrew Shih1 Comment

Hello Blood & Clots/CanadiEM community! Before we post our blog series on thrombosis and bleeding, we encourage you to test your initial knowledge by going through a few brief case scenarios. These cases were originally posted as part of our needs assessment in Fall 2016, and you can find the answers after each question below. The first few quizlets can be found here: Quizlet 1, Quizlet 2, Quizlet 3. All the content from …