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New venous thromboembolism treatment guidelines

The American College of Chest Physicians has just produced a treatment guideline for venous thromboembolism(VTE) and Pulmonary Embolism(PE). The primary push in this guideline is for the use of non-vitamin K oral anticoagulants over warfarin. Here is a brief summary DEEP VENOUS THROMBOSIS (DVT) Isolated DVT with no severe symptoms or risk factors: suggest serial…

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Thromboembolism in the Post-Partum Period

Patients presenting to the Emergency Department with signs or symptoms which might be indicative of a DVT or  pulmonary embolism in the postpartum period are treated with increased suspicion because there is in fact an increased risk. HOW LONG DOES THIS INCREASED RISK LAST FOR? The postpartum period is defined as 6 weeks following delivery. …

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Treatment of Epistaxis with Tranexamic Acid?

The medical world moves quickly and some treatments emerge, are in vogue and disappear in the blink of an eye (for example Xigris). Others emerge stay with us and extend their applicability over time. I suspect Tranexamic acid (TxA) will be one of those slow burners that stay around. It has been recognised for some…

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