Top Tweets for #EMupdates
#EMUPDATES: THEY ARE GRADUATED
Kicking of the inaugural Aberdeen Trauma surgical skills course with #EMupdates and major max fax trauma with Kris Carrol, fab session!!
Join us for our upcoming webinar with @hfmaorg to learn how to prepare for the financial impact of #EMcodeupdates. The webinar is accessible to HFMA members. Not a member? Learn more and register for the webinar here: https://t.co/BpyAS7BROK
#HFMA #2021EM #EMchanges #EMupdates
We did something amazing. We ended our #emupdates workshop lectures 18 minutes early.
NATURALLY LAUREN FRICKIN’ WESTAFER was prepared for this eventuality and is now giving a rundown on new papers published the past few WEEKS.
Cutting edge: what #smacc has always been about.
. @barbrabackus Modified Heart score with hs-cTnT still very sensitive. In low risk heart score change the limits to assign score in the T @UrgenciaUC @lvplessing #SMACC #EMUpdates
Per HEART Score principal researcher @barbrabackus, the HEART score is already helpful in identifying patients at a low risk of MACE at 30d. But modified version (with slightly different troponin assays and cutoffs) may be even better. #Smacc #EMupdates #foamed
Modified HEART score with hsTN (redefining the T) looks super promising...identifying 50% of patients as low risk ...validation pending @barbrabackus #smacc #EMupdates
HEART, ADAPT, and EDACS all have great NPV with reg or hsTn (heart/edacs)
EDACS/ADAPT a tad more complicated to compute but identify more low risk patients https://t.co/gUEkdeTze1
@barbrabackus #smacc #EMupdates
So proud to introduce @barbrabackus, principal investigator of the research that brought us all the HEART Score, an approach that has helped many patients avoid overtreating and overtesting! #Smacc #emupdates
Yes.... we got the developer of the HEART score @barbrabackus to present at #smacc #EMupdates !!!https://t.co/VAmM4JAJPv
@srrezaie Interesting but yet lack of data: Nebulized TXA in Haemoptysis, bleeding Post-Tonsillectomy. #smacc #EMupdates
Nebulized TXA for hemoptysis - worth a shot (but study not done in massive hemoptysis) #smacc #emupdates @srrezaie https://t.co/0viTWjLYFh
Per @srrezaie: There’s a case report from 2019 on the scary-ass condition POST-TONSILLECTOMY BLEEDING controlled with nebulized TXA.
Pour it in the chamber...have patient breathe it in. #Smacc #EMupdates
Topical TXA for epistaxis
Definitely worth trying
soak pledget in 500 mg TXA , insert in bare and hold pressure https://t.co/0viTWjLYFh #smacc #EMupdates @srrezaie
Per @srrezaie : Epistaxis management for patients ON ASPIRIN OR PLAVIX? Yup. Still works. And fast. No need for balloon in most cases. #smacc #emupdates
TXA for GI bleed
Maybe TXA isn’t working or something else at play...reduces mortality but no change in bleeding (also small studies, variable doses). Sickest patients benefit probably >>> harm
HALT IT trial underway #smacc #EMupdates @srrezaie https://t.co/0viTWjLYFh
Per @srrezaie, studies for txa for GI bleeds somehow have found no change in bleeding and yet somehow there *does appear to have a small mortality benefit. Something else must be going on here. #smacc #emupdates.
TXA for post partum hemorrhage
Maybe use in the sickest patients-WOMAN trial had NNT ~250, fragility index 0. Evidence ain’t great https://t.co/0viTWjLYFh
#smacc #EMupdates @srrezaie
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