But the INR is 3.2! Markers of Coagulation Status in Cirrhotics

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But the INR is 3.2! Markers of Coagulation Status in Cirrhotics

In patients with cirrhosis and ongoing bleeding, it can be challenging to determine whether or not patients are hyper or hypocoagulable. Traditional markers of coagulation status like INR can be difficult to interpret in patients with abnormal synthetic function and potentially increase consumption of coagulation factors. Can TEG (thromboelastography) be a helpful too in these situations? In this journal club recap, Dr. Grisoli recaps a recent article by Rout et al that addresses this issue.

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Grand Rounds Recap 8.23.23

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Grand Rounds Recap 8.23.23

We start out this week with our Morbidity and Mortality conference with Dr. Stark where she dives into a variety of cases included dog bite related infections, critical care boarding, malaria, septic bursitis, lunate dislocations, and regional wall motion abnormalities. Next, Drs. Arnold and Wilson discuss workup and management of patients with acute liver failure in the emergency department. Dr. Moulds then followed where she discussed ventricular tachycardias including Torsades de Pointes during her Taming the SRU presentation. Finally, we wrapped up the day with Dr. Kein’s R4 Case Follow Up where she discussed a patient who presented three patient cases who deserve your conservativism.

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Grand Rounds Recap 11.9.22

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Grand Rounds Recap 11.9.22

This week, we heard about a case of HELLP syndrome on AirCare from Dr. Comiskey, learned about acute liver failure with Dr. de Castro, practiced hands-on ultrasound skills including superior cervical plexus block, TEE, and DVT US with Drs. Baez, Frederick, and Minges, and reviewed NRP with Dr. Vinet

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