thrombolysis, pulmonary embolism, haematology, respiratory, pharmacology, evidence
A 52 y.o. bricklayer presents with dizziness, palpitations and tachycardia. 2 days ago he had bilateral total knee replacements for osteoarthritis.
CCC Update 003 features the glycocalyx, septic emboli, VBG v ABG, splenectomy care, antibiotic timing, storage lesions, submassive PE & lit summaries.
Why we should be very wary of using clot busting drugs to treat acute strokes (Muggles version)
As revenge for an incident best left unmentioned, Chris Nickson of LITFL.com and iTeachEM.com handed me the poisoned chalice of speaking on tPA for stroke at SMACC 2013. This is the result. (Un)fortunately there is no actual video footage as I wasn’t important enough, so my Finnish heavy metal air cello will be left to […]
Schrödinger’s Fence…or, where we currently sit on the matter of thrombolysis in Acute Stroke. An Opinion Piece on IST-3
Critically evaluate the role of thrombolytic therapy in massive pulmonary embolism
Epidemiology Stroke is the third commonest cause of death (11%), and the commonest cause of adult disability in western world. 80-85% are ischaemic (thrombotic or embolic) and 15-20% the more lethal haemorrhagic stroke, of which over 50% will die. Active Management Early CT scan Ideally within 1 hour ED arrival, if any of: indications for […]