RCEM Learning cover image

RCEM Learning

May 2023

May 1, 2023
This podcast episode covers topics such as the best shoulder relocation technique, using TXA in haemoptysis, tips for online teaching from Tessa Davis, and the meaning behind the RCEM Coat of Arms. The episode also discusses new online content for CPD.
01:05:14

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Quick takeaways

  • Nebulized tranexamic acid may be more effective than IV for controlling hemoptysis in patients, especially those with tuberculosis.
  • The study's focus on cessation of bleeding highlights the practical application of tranexamic acid in managing pulmonary hemorrhage.

Deep dives

Comparison of Tranexamic Acid Administration Methods

The study compared nebulized tranexamic acid with IV tranexamic acid in patients presenting with hemoptysis, primarily aiming to assess cessation of bleeding. The trial included 110 patients with a focus on tuberculosis as the major cause of hemoptysis in the population. Results showed a difference in the cumulative amount of blood expectorated, with the nebulized group demonstrating lower amounts compared to the IV group.

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