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This podcast summarizes a new behemoth guideline from the American Heart Association/American College of Cardiology on the management of pulmonary embolism (PE). The guideline itself can be found here.
Disclosure: Dr. Westafer was on the guideline writing committee; however, the views expressed herein are hers alone and do not reflect the guideline writing committee, the AHA, the ACC or any endorsing organization.
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Prior literature on pediatric patients with pulmonary embolism (PE) is limited – mostly consisting of patients with malignancy or indwelling lines. Now, we have a prospective study on venous thromboembolism (VTE) evaluation in pediatric patients. The major result is that VTE was common….6.3% of patients with documented medical decision making considering PE, D-dimer, or imaging for PE had objective diagnosis of VTE. The podcast reviews this article: Ellison et al. PERC-Peds rule for bedside exclusion of pulmonary embolism without radiation in children in the USA (BEEPER): a multicentre, prospective, observational, diagnostic accuracy study. Lancet Resp Medicine. 2026. https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(26)00086-X/abstract
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In this episode, we review a new clinical policy from the American College of Emergency Physicians (ACEP) on the use of risk stratification tools (ADD-RS) and D-dimer to exclude non-traumatic thoracic aortic dissection.
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Historically, care of patients in the emergency department (ED) in the first trimester with any kind of abortion (e.g. spontaneous “miscarriage”) underwent blood type and Rh testing followed by RhD immunoglobulin prophylaxis if Rh+. However, many guidelines now recommend foregoing this process in first trimester abortion (spontaneous or induced). In this episode, we dive into the evidence behind these varying recommendations.
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Summary in ACEPNow can be found here
Rayner DG et al. Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis. JAMA. 2025 Jan 14;333(2):143-152. doi: 10.1001/jama.2024.22700. PMID: 39465893; PMCID: PMC11519786.
Rayner DG et al. Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis. JAMA. 2025 Jan 14;333(2):143-152. doi: 10.1001/jama.2024.22700. PMID: 39465893; PMCID: PMC11519786.
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This episodes reviews the treatment of acute ischemic priapism, focusing the guidelines from the American Urological Association.
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In this episode, we review a new consensus guideline from the American College of Emergency Physicians (initially developed with the American Academy of Ophthalmology) on the use of topical anesthetics in corneal abrasions.
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The American Heart Association (AHA) released new clinical practice guidelines on atrial fibrillation (AF). This episode reviews the emergency medicine-related guidelines.
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The Association for the Advancement of Blood & Biotherapies (AABB) released 2023 International Red Blood Cell Transfusion Guidelines. This podcast reviews the guidelines as well as a recently released trial evaluating restrictive versus liberal transfusion strategy in patients with myocardial infarction. Carson et al. Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia. NEJM 2023. DOI: 10.1056/NEJMoa2307983.
