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


Rebellion in EM 2019: 3 Things That Have Changed the Way I Intubate

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sábado, 30 de diciembre de 2017

TTP: Plasmic Score

Taming The SRU - December 28, 2017 - By Baez J 
figure 3: PLASMIC scoring system. Score 0-4: low risk for ttp. Score 5-6: Intermediate risk, additional testing needed. Score 7: High risk for TTP, may treat empirically.
"In summary, TTP is a diagnosis that can be made using simple laboratory data obtained in the ED. With the advent of the PLASMIC score, emergency providers can expedite treatment in consultation with a specialist. Standard therapy with plasma exchange and steroids leads to clinical response in most patients. Platelet transfusion should be avoided if possible. For patients who do not fully respond or relapse, rituximab should be considered. Through early recognition and treatment, emergency providers can lessen the morbidity and mortality associated with this rare disease process."