Grace Lam, MD

#EMconf: Are Trimester-Specific D-dimer Thresholds Ready for Prime Time?

Are you unsure if you can use D-dimer testing to aid in the diagnositic evaluation for DVT/PE in the pregnant patient?  This week's Critically Appraised Topic in conference discusses the use of trimester-specific D-dimer threshold testing in pregnant patients.  

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GI Bleeding: The Evidence Behind When to Transfuse?

When patients present to the Emergency Department with acute upper GI bleeding, the natural inclination is to quickly pull the transfusion trigger. However, a 2013 study gives us pause:

Villaneuva et al. "Tranfusion Strategies for Acute Upper Gastrointestinal Bleeding." New England Journal of Medicine. 368:11-21.

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