There’s a journal club in my living room every few months (or at least there will be – this was the first). Raconteur Adam Rowh, MD joins the show to talk the med lit we dissected by the fireside. http://traffic.libsyn.com/ercast/Articles_you_need_to_know_-_winter_edition.mp3 Direct Download Stuff in this show Prandoni, Paolo, et al. “Prevalence of pulmonary embolism among […]
Rivaroxaban for acute deep venous thrombosis When we have a standard therapy for a disease, in this case vitamin K antagonists (VKA) for deep venous thrombosis (DVT), and a new therapy comes out, what do we want to know about the new drug? Is it at least as effective as the old therapy? Because if […]
What is the best way to evaluate a pregnant patient in whom you suspect pulmonary embolism? There is no definitive guideline, but there is no shortage of opinions. Jeff Kline and I work through the evidence and lack thereof. http://traffic.libsyn.com/ercast/PE_Preg_podcast.output.mp3 DIRECT DOWNLOAD What is the fetal radiation exposure from CT pulmonary angiogram and ventilation perfusion […]
There is no perfect way to rule out pulmonary embolism. But what if we could change the game and move the d-dimer cutoff higher in the low risk patient? From 500 ng/ML to 1000ng/mL. You’d think that the specificity of the test would improve – fewer false positives. But what would we sacrifice in sensitivity? […]
Treat a patient with PE as an outpatient? Insanity! But where is the evidence that says we’re doing the right treatment with all of the PEs we diagnose?
It’s open mike time for whatever get’s your goat (in medicine, that is) – sit up, listen and take notice – it is time for our Featured Rants…