CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. Our podcasts are found on this channel and include: CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations. First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.

http://canadiem.org/

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Re-starting Anti-Coagulation After Intracranial Hemorrhage


The same 65-year-old man who was seen earlier with an ICH has now recovered. His past medical history is remarkable for hypertension, dyslipidemia, a mechanical aortic valve replacement, diabetes, and sleep apnea. His list of medications include ramipril, atorvastatin, aspirin, metformin, and warfarin. Should his anti-coagulation be resumed? If so, how long should the clinician wait prior to re-starting his medications? Objective 1: Summarize the most recent guidelines regarding when to re-start anti-coagulation after ICH (ASA, DVT-P, Xa inhibitors, warfarin)
Objective 2: What factors need to be taken into consideration when making this decision?
Objective 3: Interpret the evidence behind the guidelines
Objective 4: Describe instances where one would consider re-starting anti-coagulation earlier/later
Objective 5: Develop an approach to re-starting anti-coagulation after ICH including which agent to use and why
Objective 6: How would you approach this scenario?
Objective 7: What do guidelines suggest?
Objective 8: Would scenario change depending on type of valve? What if the indication was AF, not mechanical valve?
Objective 9: Does the type of bleeding matter? (lobar versus deep ICH)


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 September 16, 2019  21m