Tagged ‘PE’

Journal Review

D-Dimer to Rule Out Venous Thromboembolism During Pregnancy: A Systematic Review and Meta-Analysis

Filed Under: Tags: , , , November 22nd, 2021 Leave a Comment

Pregnant women have a higher risk of venous thromboembolism (VTE) and an increasing D-Dimer over the course of pregnancy. The majority of clinical guidelines recommend the D-dimer should not be used to assess the risk of VTE in pregnant women.
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Journal Review

Edoxaban in Cancer-Associated VTE

Filed Under: Tags: , , , , September 13th, 2018 Leave a Comment

This post is cross-posted on REBEL EM

Venous thromboembolism (VTE) occurs frequently in patient with cancer. Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding.
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Journal Review

ACEP Venous Thromboembolism Clinical Policy 2018

Filed Under: Tags: , , , July 19th, 2018 Leave a Comment

The evaluation and management of venous thromboembolism (VTE) in the Emergency Department (ED) is fraught with questions: who should I evaluate, who should get a d-dimer, what should the d-dimer threshold be etc.
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Journal Review

PE Rule-Out Criteria RCT

Filed Under: Tags: , April 19th, 2018 Leave a Comment

The diagnosis of a pulmonary embolism (PE) in the Emergency Department (ED) is complicated. Many different decision rules have been developed to help risk stratify patients coming into the ED with some level of suspicion for PE. 
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Journal Review

The YEARS Study – Simplified Diagnostic Management of PE

Filed Under: Tags: , , , , November 16th, 2017 2 Comments

Background

The clinical diagnosis of pulmonary embolism (PE) can be challenging given its variable presentation, requiring dependence on objective testing. Decision instruments such as PERC and the Wells’ score help stratify patients to low or high probability,
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Journal Review

Long-Term Outcomes in Submassive PE After Thrombolytics

Filed Under: Tags: , , , , July 20th, 2017 2 Comments

There is scant evidence published on the long-term outcomes of systemic thrombolysis in acute submassive PE.  Many advocate for the use of systemic thrombolysis to reduce morbidity (complications from chronic pulmonary hypertension) and mortality.
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