The topic of PPIs for upper GI bleeds was one of the first posts on First10EM. There is no new evidence, and the bottom line is the same (just don’t use them), so if you are a long time reader, you can probably skip this post. However, that post was […]
GI bleed
A key scientific lesson that I have discussed numerous times on this blog is that the interpretation of any new study must be placed within the context of what is already known about the topic. Although there must be equipoise for medical research to be ethical, equipoise does not mean […]
It is already August! Even in COVID times, the days just seem to fly by. If you are looking for something boring to stretch those precious minutes out, I have another collection of evidence based medicine for you…
Massive GI bleeds can be very scary (for both the patient and the clinician), and it makes sense that we want to do everything possible to stop the bleeding. Until now, I have been using TXA (tranexamic acid) as a component of my resuscitation for massive GI bleeds. I reviewed […]
For a long time, we have been planning an episode of the EMCases Journal Jam series that will look at the evidence for or against TXA in almost all clinical settings. (It has been in the planning stages for a long time, because it is un-surprisingly hard to coordinate the […]