Stephanie Wilsey, MD

Advanced Practice: Nebulized TXA for Hemoptysis

As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!

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Advanced Practice: Beyond the Corneal Abrasion

A 28 year old female presents with right eye pain. She wears contact lenses and reports falling asleep with them in for the past few days. On fluroscein examination, you note a lesion that does not look like a typical abrasion.  You wonder if this could be a corneal ulcer and what the appropriate treatment may be?

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