Discover and read the best of Twitter Threads about #Bleeding
Most recents (14)
💥#McMaster #CardiologyGrandRounds by @johneikelboom
🩸 People with #AF are inadequately anticoagulated, largely related to MD hesitancy
🩸#Bleeding risk prediction tools have modest performance
🩸Bleeding risk iproportional to stroke risk, net benefit favours #antocoagulation
🩸 People with #AF are inadequately anticoagulated, largely related to MD hesitancy
🩸#Bleeding risk prediction tools have modest performance
🩸Bleeding risk iproportional to stroke risk, net benefit favours #antocoagulation
2/
🩸Few reasons to withhold #OAC, even in frail, older adults
🩸Across spectrum of #bleeding risk in AF, #stroke risk is higher
🩸#DOACs preferred over warfarin in #nonvalvular #AF
🩸Few reasons to withhold #OAC, even in frail, older adults
🩸Across spectrum of #bleeding risk in AF, #stroke risk is higher
🩸#DOACs preferred over warfarin in #nonvalvular #AF
3/
🩸Most #DOACs safe in #CKD, some require dose adjustment
🩸Dabigatran contraindicated in eGFR<30
🩸Limited RCT evidence in #Hemodialysis
#AtrialFibrillation #Anticoagulation
🩸Most #DOACs safe in #CKD, some require dose adjustment
🩸Dabigatran contraindicated in eGFR<30
🩸Limited RCT evidence in #Hemodialysis
#AtrialFibrillation #Anticoagulation
1a) Welcome to a new #accredited #tweetorial on the management of aFXa-DOAC-associated #hemorrhage and specifically the role of coag laboratory testing in these challenging cases.
1b) Our expert author is #pharmacist Craig Beavers, PharmD @beaverspharmd CV Clinical Pharmacy Specialist @UK_COP, and Immediate Past Chair of the @ACCinTouch #ACCCVT Section
2) This 🆓program is accredited for 0.5h CE/#CME for #physicians #physicianassociates #nurses #nurespractitioners #pharmacists and is supported by a grant from AstraZeneca. See statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/.
1/ @ElrondNetwork is likely working on finalizing partnerships before announcing dates for their #cryptoconference this November 2022 in Paris, France.
#EGLD #Conference marketing materials should include a blog post (elrond.com/blog/) & easy-to-share infographics...
#EGLD #Conference marketing materials should include a blog post (elrond.com/blog/) & easy-to-share infographics...
2/ Anticipation is one of the most powerful psychological phenomenon. My expectations surrounding this announcement and leading up to the conference are high. This both from the media's attention and the market's reaction.
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Interventional #cardiologist, #researcher, & #SoMe education leader @DLBHATTMD will be talking all about #aspirin, its role in #cardiovascular wellness & prevention, and new approaches to . . .
. . . formulation and dosing. Don't miss it--FOLLOW US NOW! @cpcannon @AnnMarieNavar @DrM_ODonoghue @DrMarthaGulati @practicalcardio @GuyattGH @DrMauricioCohen @SVRaoMD @ASPCardio @PlateletDoc @stephanamayer @CMichaelGibson @JJheart_doc @DrSheilaSahni @mmamas1973 @Drroxmehran
1) Welcome to an #accredited #tweetorial on the foundational role of #aspirin in #cardiovascular care. There are new approaches to #aspirin formulation & dosing. This program is accredited for 0.50h CE/#CME. I am @DLBHATTMD. #FOAMed #cardiotwitter #medtwitter
1/21
A #story of an #afternoon of 1971 #Bengal.
A beautiful,fair glowing skinned,#generalclass, #traditional, #Hinduwoman used to live with her #husband (who used to work in railways) and her 15yrs old #son & 4 years old #Daughter.
She was also a prime worshipper of Maa Durga...
A #story of an #afternoon of 1971 #Bengal.
A beautiful,fair glowing skinned,#generalclass, #traditional, #Hinduwoman used to live with her #husband (who used to work in railways) and her 15yrs old #son & 4 years old #Daughter.
She was also a prime worshipper of Maa Durga...
2/21
Some years ago, when her #son was of 13 yrs, he started showing his interest in #Politics and started being with #hinduextremists.
He also started going to #akharas,for #gym work and #shastravidya.
Onto which he was #punished by not given #food for a #day by...
Some years ago, when her #son was of 13 yrs, he started showing his interest in #Politics and started being with #hinduextremists.
He also started going to #akharas,for #gym work and #shastravidya.
Onto which he was #punished by not given #food for a #day by...
'Will @Number10cat be out of a job'? - @MrSteerpike
Thanks for article in @spectator today in response to @CommonsEFRA evidence and @Politics_co_uk article on #SentienceBill
Thanks for article in @spectator today in response to @CommonsEFRA evidence and @Politics_co_uk article on #SentienceBill
1. @Politics_co_uk article
2. Article asks if the #SentienceBill would put @Number10cat out of business. Cites my reference to Animal Sentience Committee role in assessing impact government policy on 'Indiscriminate poisoning of rats using inhumane methods' in @CommonsEFRA evidence.
Benefits of #anticoagulation 💊after major #bleeding 🩸?
Read our #interview with lead author Truman Milling
in thread 🧵 below 👇
👉Article Open access thieme-connect.com/products/ejour…
👉Editorial thieme-connect.com/products/ejour…
Read our #interview with lead author Truman Milling
in thread 🧵 below 👇
👉Article Open access thieme-connect.com/products/ejour…
👉Editorial thieme-connect.com/products/ejour…
T&H: Why did you (and your colleagues) write this paper?
TRUMAN MILLING: We saw the obvious finding that thrombotic events did not occur when clinicians restarted anticoagulation after major hemorrhage, and we wanted to explore this further.
TRUMAN MILLING: We saw the obvious finding that thrombotic events did not occur when clinicians restarted anticoagulation after major hemorrhage, and we wanted to explore this further.
What was its main purpose?
T.M: To begin to provide the evidence to move clinicians off their conservative bias toward anticoagulation decisions after major bleeding. We, patients and clinicians, naturally fear bleeding more than thrombosis, and we shouldn't.
T.M: To begin to provide the evidence to move clinicians off their conservative bias toward anticoagulation decisions after major bleeding. We, patients and clinicians, naturally fear bleeding more than thrombosis, and we shouldn't.
#Infectiousdisease encyclopedia @Darcy_ID_doc carried us through another #HIV-focused #MTC at #Hillcrest this morning!!
Chief @photon_ick & PGY3 Dr. Sheila Bhavsar shared a cool case of #Toxoplasmosis, specifically #Toxo encephalitis!! Check out our 🗝️👇!!
Chief @photon_ick & PGY3 Dr. Sheila Bhavsar shared a cool case of #Toxoplasmosis, specifically #Toxo encephalitis!! Check out our 🗝️👇!!
1. Abrupt-onset weakness needs a stroke code evaluation. Our patient presented with #fevers & < 3 hr of L-sided #weakness!! ⏱️=🧠, so this comes first!!
2. Ultimately you'll end up with a #CT scan, where you are really looking for #bleeding or other space-occupying lesions.
2. Ultimately you'll end up with a #CT scan, where you are really looking for #bleeding or other space-occupying lesions.
3. Our patient had contrast-enhancing lesions. #contrastenhancement = edema & mass effect. No enhancement = not space-occupying! This helps narrow our differential!
1/
Just out today (free) in @JAMASurgery
@Guyettef @Jjasonsperrymd @joshua_b_brown et al.
#TXA During Prehospital Transport in Patients at Risk for Hemorrhage After Injury: A Double-blind, Placebo-Controlled, Randomized Clinical Trial
jamanetwork.com/journals/jamas…
#staamptrial
Just out today (free) in @JAMASurgery
@Guyettef @Jjasonsperrymd @joshua_b_brown et al.
#TXA During Prehospital Transport in Patients at Risk for Hemorrhage After Injury: A Double-blind, Placebo-Controlled, Randomized Clinical Trial
jamanetwork.com/journals/jamas…
#staamptrial
2/
The role of #TXA has been the subject of varying debate.
This study asks if giving #TXA to #bleeding trauma patients in the #prehospital setting affects 30-day outcomes
This is a critical questions as #trauma remains a leading cause of death around the world
#StopTheBleed
The role of #TXA has been the subject of varying debate.
This study asks if giving #TXA to #bleeding trauma patients in the #prehospital setting affects 30-day outcomes
This is a critical questions as #trauma remains a leading cause of death around the world
#StopTheBleed
3/
It is crucial we look at point-of-injury methods to control hemorrhage and hopefully affect outcome.
Remember, as this paper shows, there is a significant portion of patients in the prehospital setting that suffer potentially preventable death
pubmed.ncbi.nlm.nih.gov/25058244/
It is crucial we look at point-of-injury methods to control hemorrhage and hopefully affect outcome.
Remember, as this paper shows, there is a significant portion of patients in the prehospital setting that suffer potentially preventable death
pubmed.ncbi.nlm.nih.gov/25058244/
1
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp
2
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇
For people >= 80 years of age with non-valvular #AF, once-daily #edoxaban 15mg was superior to placebo in preventing #stroke or systemic embolism & did not result in a higher incidence of major #bleeding than placebo
| #AFib #Elderly #NOAC 🇯🇵 @NEJM nejm.org/doi/full/10.10…
| #AFib #Elderly #NOAC 🇯🇵 @NEJM nejm.org/doi/full/10.10…
Participants were elderly Japanese patients (≥80 years of age) with nonvalvular #AtrialFibrillation who were not considered to be appropriate candidates for oral #anticoagulant therapy at doses approved for #stroke prevention.
#livertwitter #irad
For patients with #cirrhosis without #liver failure, we believe in early and aggressive #treatment for #portal hypertension (increased liver pressure) with #TIPS and also knockout all big parasitic #shunts (done here with a plug) 1/3
@SRajesh_IR is 💯 on it
For patients with #cirrhosis without #liver failure, we believe in early and aggressive #treatment for #portal hypertension (increased liver pressure) with #TIPS and also knockout all big parasitic #shunts (done here with a plug) 1/3
@SRajesh_IR is 💯 on it
The #satisfaction of seeing those large bunch of #bleeding and #encephalopathy source #disappear is quite nice!
#MedTwitter #Medical #medicine
#MedicalStudent #MedEd
@SIRRFS 2/3
#MedTwitter #Medical #medicine
#MedicalStudent #MedEd
@SIRRFS 2/3
In due course, we see the #spleen size reduce, as portal #hypertension comes under #control
Has anyone else noticed the dynamics of spleen post TIPS and its relevance? @keithppereira @CHICKVIR @SIRspecialists #radiology #aasld #easl #apasl
3/3
Has anyone else noticed the dynamics of spleen post TIPS and its relevance? @keithppereira @CHICKVIR @SIRspecialists #radiology #aasld #easl #apasl
3/3
More power to #irad
#Bleeding #varices and plug assisted transvenous #occlusion by @SRajesh_IR
Varices dissappear (arrows)
Wonderful to see how portal vein size increases (B➡️D) after shunt occlusion. #interventional #MedTwitter #radiology #livertwitter #GITwitter
1/2
#Bleeding #varices and plug assisted transvenous #occlusion by @SRajesh_IR
Varices dissappear (arrows)
Wonderful to see how portal vein size increases (B➡️D) after shunt occlusion. #interventional #MedTwitter #radiology #livertwitter #GITwitter
1/2
Similarly, intrahepatic #portal vein caliber increases(B➡️D), making further #TIPS procedure technically more amenable. Large shunts are like blood parasites for portal vein. Shunt+varices long gone! (circled, A➡️C) #cirrhosis #MedTwitter
#hepatology #irad @SIRspecialists
2/2
#hepatology #irad @SIRspecialists
2/2
Meet Dr Chantal Attard @Chantal_Attard, the researcher from @MCRI_for_kids who is transforming the lives of children living with complex heart disease!
A thread 👇
#blood #stroke #bleeding #haematology
@AcademicChatter #thrombosis #meettheresearcher #hematology #cardiology
A thread 👇
#blood #stroke #bleeding #haematology
@AcademicChatter #thrombosis #meettheresearcher #hematology #cardiology
The coagulation system prevents the body from bleeding after injury, but what you might not know is this system continuously develops with age. This means children & adults have different risks of blood clotting + bleeding. This alters how they react to blood-thinning medications
“How can we protect our most vulnerable children?” This is the research aspiration that Chantal pursues in her daily life.
