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Critical Care Mailbag - Massive Hemoptysis

Anand Swaminathan, MD FAAEM and Scott Weingart, MD
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19:11
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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01:53

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EMRAP 2019 03 March Written Summary 434 KB - PDF

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Tamara A. -

You mentioned that nebulized TXA is not useful, is there a role for IV TXA in massive hemoptysis?

Anand S., M.D. -

Tamara - interesting question. From my quick search, there's limited info on IV TXA for hemoptysis (there's also limited evidence for inhaled, of course)
Here's a 2017 update in clinical pulmonary medicine: https://journals.lww.com/clinpulm/Abstract/2017/03000/Tranexamic_Acid_for_Hemoptysis___A_Review.4.aspx

None of these studies really tackles the acute bleeder in the ED either

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EM:RAP 2019 March Full episode audio for MD edition 207:41 min - 289 MB - M4AEM:RAP 2019 March German Edition Deutsche 90:57 min - 125 MB - MP3EM:RAP 2019 March Aussie Edition Australian 34:56 min - 48 MB - MP3EM:RAP 2019 March Farsi Edition Farsi 64:12 min - 88 MB - MP3EM:RAP 2019 March French Edition Français 22:38 min - 31 MB - MP3EM:RAP 2019 March Spanish Edition Español 78:59 min - 108 MB - MP3EM:RAP 2019 March Canadian Edition Canadian 18:22 min - 25 MB - MP3EMRAP_2019 03 March Board Review Answers_V2 135 KB - PDFEMRAP_2019 03 March Board Review Questions_V2 96 KB - PDFEMRAP 2019 03 March Individual MP3 229 MB - ZIPEMRAP_2019_03_March_Individual_Written 601 KB - ZIPEMRAP 2019 03 March Spanish Written 1 MB - PDFEMRAP 2019 03 March Written Summary 434 KB - PDF

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