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Blood & Clots Series: What is the optimal antithrombotic strategy for atrial fibrillation post-PCI?

In Blood & Clots, Medical Concepts by Vinai BhagirathLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert Main Messages  P2Y12 inhibition is important for the first 1-6 months after PCI insertion, and may have ongoing benefits up to 12 months or longer.  Addition of anticoagulant to antiplatelet therapy increases the risk of bleeding, but reduces the risk of stroke.  Use of an anticoagulant plus P2Y12 inhibitor is preferable to anticoagulant plus dual …

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Blood&Clots Series: Performing non-neuraxial bedside procedures on patients taking anticoagulants

In Blood & Clots, Medical Concepts by Calvin YehLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical expert Case Description You are assessing a patient in the emergency room who is presenting with a unilateral large pleural effusion that is causing hypoxia and shortness of breath. She needs a thoracentesis but her INR is 3.0 due to the Warfarin she takes for atrial fibrillation. How can this procedure be performed safely? What about …

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CAEP FEI | The Global Health Emergency Medicine Organization

In Featured, Featured Education Innovations (FEI) by Cheryl HunchakLeave a Comment

Natasha is a third year Emergency Medicine resident who has a passion for travel and tropical diseases. She has heard of other recent graduates of her training program pursuing additional training in global health. She has always felt drawn to a career in global health but is overwhelmed by the options available online. She wishes there was an organization at her institution that can help her navigate the process.  This Feature Educational Innovation …

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HiQuiPs: Patient Safety in the ED Part 1 – Introduction to the Systems Approach

In Education & Quality Improvement, HiQuiPs by Ryan TamLeave a Comment

So far in our series we’ve explored several approaches, frameworks and tools that will help guide you through the process of quality improvement. You are probably eager to get started at this point (or you may have already!), but you may be wondering which areas to target first in your emergency department (ED). In a previous post we listed some high-yield priorities to choose from. Among these, one of the most recognized and accessible …