Thursday

#EMConf: Reversal of Lovenox

Editor: 
John Cafaro MD

Recommend against reversal of LMWH in patients receiving prophylactic dosing of LMWH. 

Low quality of evidence for the use of FFP or PCC to reverse LMWH. 

Protamine:

  • Dosed within 8 hours - 1 mg IV per 1 mg Lovenox (up to 50 mg in a single dose).
  • Dosed within 8-12 hours - 0.5 mg IV per 1 mg Lovenox (up to 50 mg in a single dose). 
  • Minimal utility in reversal of >12h from dosing. 

rFVIIa: 90 ug/kg iV if Protamine is contraindicated. 

Reid Phillips MD
Thu, 11/08/2018 - 7:00am
Topic: 
Internal Medicine
Category (Day): 
Thursday

#EMConf: Management of Tick Borne Illnesses

Editor: 
John Cafaro MD

Consider tick borne illness when:

  • Influenza-like illness presentations, especially during the summer months. 
  • Fever of unknown origin
  • When viral meningitis is on your differential diagnosis. 

Babesiosis:

  • PO: Atovaquone + Azithromycin
  • IV: Clindamycin + Quinine
  • Exchange transfusion indications (would need Hematology/Oncology consult): 1. Asplenia       2. Parasite Load > 10%

Lyme's Disease:

John Cafaro MD
Thu, 11/01/2018 - 7:00am
Topic: 
Internal Medicine
Category (Day): 
Thursday

Pages