Tag Archive: Bleeding

Get the NOAC Knowhow: Novel Oral Anticoagulants Part 1

Where would we be without warfarin?  The good old rat poison has served us brilliantly for decades, allowing us to anticoagulate patients to treat and prevent venous thromboembolism, prevent stroke in AF, and so much more.  As a House Officer,…
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JC: Paediatric massive transfusion. St.Emlyn’s

I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but adult trauma is not. This means that we can transfer…
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JC. ROTEM for ED coagulopathy detection. St.Emlyn’s

Coagulopathy is well known to be a significant issue in the ED. There is increasing awareness that the early awareness, detection and management of coagulation problems is important for ED management, but it’s tricky. Laboratory based tests may not tell…
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JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it’s something we have instituted in both paediatric and adult practice. Surely there must be robust evidence to back them up,…
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Glasgow Scores… Not just for coma any more!

Quick post… NICE have recently published new guidance on Upper GI bleeding. It is surprisingly sensible. I was pleased with their position on PPI’s for upper GI bleeding (not before endoscopy…). The other point that I was happy to see was the inclusion of…
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