In the April 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss illnesses of bioterrorism as well as upper GI bleeds. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including posterior auricular mass in Clinical Pediatrics, flexor tenosynovitis of the thumb in Critical Cases in Orthopedics and Trauma, dorsal penile nerve block in The Critical Procedure, buprenorphine for opioid withdrawal in The LLSA Literature Review, and chest trauma in older patients in The Critical Image.

April 2023: Identifying Illnesses of Bioterrorism and Emergency Presentations of Upper GI Bleeds

In patients with cirrhosis and ongoing bleeding, it can be challenging to determine whether or not patients are hyper or hypocoagulable. Traditional markers of coagulation status like INR can be difficult to interpret in patients with abnormal synthetic function and potentially increase consumption of coagulation factors.  Can TEG (thromboelastography) be a helpful too in these situations? In this journal club recap, Dr. Grisoli recaps a recent article by Rout et al that addresses this issue.

TEG for Cirrhotic Bleeding

www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.

New tracks tagged #GI Bleed