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Due to the short half-life and rapid onset of action of the new oral anticoagulants (NOACs), peri-procedural anticoagulant free time intervals should be shorter than with warfarin. Thus, there is uncertainty about the use of heparin bridging. These investigators from Germany analyzed the Dresden NOAC registry data to assess peri-procedural NOAC management and safety until 30 days post-procedure.
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The purpose of this article is to review the complicated issues of end-of-life and futile medical care as applicable to the emergency department (ED). It will address sources of conflict and confusion, and will conclude with a practical discussion of how emergency physicians can best navigate these complex waters by practical case review.
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In this article and the succeeding two parts in this series, three distinctive applications of ultrasound in the ED will be discussed. The ability to perform a proficient and diagnostically effective ultrasound examination requires a judicious understanding of the underlying principles.
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The 12-lead ECG shown in the figure was obtained from a 55-year-old woman with new-onset chest pain. Many more P waves than QRS complexes are seen on the tracing. How would you interpret this ECG?
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The following reports from the annual scientific sessions of the American Heart Association (AHA) meeting held November 17-20, 2002, in Chicago were obtained by handwritten notes, discussions with investigators, and news reports.
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This article aims to provide the emergency medicine practitioner evidence-based information on the evaluation and management of wounds and to help dispel some of the commonly encountered myths in the practice of wound care.
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The association between H pylori and acute cerebrovascular disease seems to be due to a higher prevalence of more virulent H pylori strains in patients with atherosclerotic stroke.
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The final part of this three-part series focuses on diagnosis and management of hand infections and deep tissue injuries. Guidelines for patient evaluation, surgical consultation, and initial antibiotic therapy, when indicated, are provided.
