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Outcomes in Subsegmental PE

16 May

This is a big and important topic but still a little bit confusing to say the least. The way I want to view the world is like this. PE is not a single disease but instead something we should call … Read More »

critical appraisal SSPE, Sub segmental PE, VTE 4 Comments

Tasty morsels of EM 038 – Alcoholic Ketoacidosis

29 Apr

These little notes have become my way of documenting my text book reading. Mainly focused on the stuff I don’t already know about or don’t see very often. Alcoholics become dependant on alcohol for caloric supply The body can only … Read More »

board review, tasty morsels AKA, alcohol abuse, harwood nuss Leave a comment

Time to treatment for stroke and problems with observational data

21 Apr

Here’s a big study suggesting earlier TPA treatment for stroke results in better outcomes. This of course isn’t a new idea but this is new data here to support it: Saver JL, Fonarow GC, Smith EE, Reeves MJ. Time to … Read More »

critical appraisal, stroke thrombolysis lysis, stroke, tPA 2 Comments

Causes of reduced conscious level in North Dublin

10 Apr

[Apologies to anyone offended by the title, my tongue is firmly in cheek if that helps…] The hospital I currently work in is in one of the poorer areas of Dublin. There are a few hospitals with populations like ours … Read More »

board review coma, LOC, unconscious 5 Comments

Age Adjusted D-dimer Cut Offs

7 Apr

This paper recently published trying to confirm if it’s OK to raise the d-dimer cut off in older people. “Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism: the ADJUST-PE Study.” 311, no. 11 (March 19, 2014): 1117–1124. doi:10.1001/jama.2014.2135. PMID 24643601 … Read More »

critical appraisal d-dimer, VTE 6 Comments

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