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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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domingo, 8 de mayo de 2016

US Approach to DVT

EM REMS
EM REMS - Jan 28, 2016 - By Mitchell Datlow
"Deep venous thromboses are thought to occur in as many as 1 in 1000 people annually, although many instances never present to urgent care or emergency room settings. When a patient does make it to the ER, the most common presentation is a swollen, tender lower extremity. Although there are many things on the differential, the emergency room physician must rule out DVT because of the potential risk of subsequent pulmonary embolism.
Ultrasound has become the go-to method for evaluation of DVT. In the ER setting, the limited compression ultrasound technique is most widely used due to the ease and speed at which it can be performed. A duplex scan with color Doppler can be useful in other scenarios, but these evaluations can take up to an hour, require a skilled technician, and have not been shown to be any more accurate in detection of proximal DVTs compared to limited compression ultrasound..."
DVT Baseline vs Compress