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Blood & Clots Series: How do you choose an anticoagulant for stroke prevention in atrial fibrillation?

In Blood & Clots, Medical Concepts by Kerstin de WitLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Expert, health advocate, communicator Case Description A 52 year old lady attends the emergency department with a several week history of palpitations. She is found to have atrial fibrillation. You have started a beta blocker and she is in a stable condition for discharge. You evaluate the need for stroke prevention and discuss the options with her. …

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Blood & Clots Series: How do I manage acute VTE in pregnancy?

In Blood & Clots, Medical Concepts by Eric Tseng1 Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert, Collaborator Case Description You’re an EM resident seconded off-service on your internal medicine rotation,  and it’s your night on call. The emergency physician asks you to see a pregnant patient with acute pulmonary embolism. Your patient is a 32 year old G3P2 female at 33 weeks gestational age. Her previous pregnancies were uneventful spontaneous vaginal …

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Blood & Clots Series: ThromboPhonia E01, Mechanical Valves and Intracranial Hemorrhage

In Blood & Clots, Medical Concepts by Sameer SharifLeave a Comment

Blood & Clots Podcast, Thrombophonia: Episode 1 A 65-year-old man presents to the Emergency Department after suffering from an intracerebral hemorrhage (ICH). He has a past medical history of hypertension, dyslipidemia, a mechanical aortic valve replacement, diabetes, and sleep apnea. His medications include ramipril, atorvastatin, aspirin, metformin, and warfarin. How should this patient be managed? What should be done with his anticoagulation? Listen to the podcast below and read the blog post below! Objectives …

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Blood and Clots Series: Diagnosing pulmonary embolism in pregnancy

In Blood & Clots, Medical Concepts by Eric Tseng3 Comments

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert Case Description  A pregnant 32 year old female presents to the ER with chest pain. She is 33 weeks gestational age, and this is her third pregnancy (two prior uneventful deliveries). Her pain started 3 hours ago while she was watching television. It is sharp, worse with inspiration, and located along the right costal margin. …

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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 Matthew Nicholson1 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 Matthew NicholsonLeave 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 …