Annals of B-Pod: Disseminated Intravascular Coagulapathy

DIC is a much dreaded dysregulation of the body's natural coagulation infrastructure associated with very high morbidity and mortality. DIC is a diagnosis that emergency providers cannot miss, and in his case Dr. Shaw walks us through the timely identification and treatment of DIC in the emergency department while simultaneously shedding light on much of the controversy that surrounds DIC. Do blood products help correct the coagulopathy?  Find out inside!

Read More

Annals of B-Pod: Thrombotic Thrombocytopenic Purpura

Annals of B-Pod: Thrombotic Thrombocytopenic Purpura

TTP, ITP, HUS, DIC - the category of hematologic emergencies is rife both with three-letter acronyms and potentially devastating complications for those patients afflicted with them. Told from the perspective of an internist, this article by medicine chief resident Dr. Baez details a case of thrombotic thrombocytopenic purpura (TTP) through the entirety of the patient's care, beginning with its presentation in the ED and ending with patient's ultimate recovery. In this article, Dr. Baez also details the newly minted, clinically-validated PLASMIC score, a scoring system that can be used in the ED to facilitate diagnosis of TTP. Check it out!

Read More

Grand Rounds Recap 9.7.2016

Grand Rounds Recap 9.7.2016

This week we learned about risk stratification for PE and how to work it up in special populations. We covered neonatal resuscitation and pediatric hematologic emergencies. We got a crash course in the returning traveler with fever. We reviewed current guidelines for treatment of sexually transmitted infections.

Read More