Cite this post as:
Scott Weingart, MD FCCM. EMCrit 303 – A Bounceback Case with Mike Weinstock. EMCrit Blog. Published on July 23, 2021. Accessed on March 19th 2024. Available at [https://emcrit.org/emcrit/tamponade-bounceback/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: July 23, 2021
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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I’ll bring up another important learning point here that if discussed in the podcast, I missed it. This patient’s coagulopathy is likely related to him being on coumadin, then having someone prescribe Levaquin for presumed PNA. Levaquin should probably never be used in patients on coumadin as it almost always will raise the INR. With so many superior alternatives to fluoroquinolones, I wonder why they are still prescribed so frequently these days.
great point, Korbin!!!
Agree. Not a fan of quinolones for SO many reasons. Sort of a drag as when levaquin came out seemed to be such a game changer! Also your comment is a nice reminder to check for new or changed or OTC meds since the last visit…
Wait!! What happened to the patient? Why did he have the effusion? How did he do ultimately?
read the chapter above : )
Does anyone have the mentioned literature on giving Kcentra faster than what the package insert says? Very interested in this and would love to start doing it
extraordinary. I have the first Bouncebacks book, and shall certainly get his one. Scott, I love all your pods, but this is one of the finest I have ever heard of all pods anywhere. you and Mike carefully discuss the case as it unfolds in a clear, calm, extraordinarily informative fashion. discussing differentials , forks in decision pathways, considerations at each step. I use 1500 units of KCentra as well, usually do not wait for an INR. this was described elsewhere.. (? EMcases, bleeding?). think it’s good enough for most reversals. my first (and only) pericardiocentesis was about 1987. It… Read more »
Excellent!! Applies very well to transport care as well.
Randy Wheeler