为了获取更好的使用体验,丁香公开课推荐使用 Chrome 或 Firefox 浏览器

如果您使用 IE 浏览器,推荐使用 IE11 版本

Ashley Strobel 丁香诊所 美国马里兰大学

美国马里兰大学视频 / 时长47分钟

丁香诊所全科培训课程 09:血栓的形成与抗凝

¥12.00

  • 此课程购买后可永久观看
  • 已有 228 人购买
加载中...
  • 课程简介
  • 全部评论

课程介绍

静脉血栓栓塞可分为肺栓塞和深静脉栓塞,他们的共同特点是具有 Virchow’s 三联征,即内皮损伤、血液高凝状态和血流瘀滞。

肺栓塞患者常表现为呼吸频率加快或呼吸困难、胸膜痛、深静脉血栓病史等。而深静脉血栓则主要表现为红肿热痛,需注意与蜂窝织炎相鉴别。

目前临床上诊断肺栓塞或深静脉栓塞,除了需要根据临床表现,还常使用 WELLS 评分或修正的日内瓦评分,将肺栓塞或深静脉栓塞分为高危组、中危组和低危组或二分法分类,从而对患者的病情做出正确的评估,而 D-二聚体的测定一般作为排除性检查。肺栓塞除了上述检查外,还可以通过 ECG 的表现间接反映肺栓塞。

在血栓形成后,我们常用普通肝素、华法林、低分子肝素、利伐沙班等抗凝药物治疗和外科手术治疗,那么药物治疗和手术治疗该如何选择?针对具体病例,该如何选择药物、给药方式及剂量?对于急诊突发的肺栓塞又该如何处理?

本期丁香公开课,丁香园特邀美国马里兰大学急诊和儿科医学讲师 Dr. Ashley Strobel 和大家一起分享《血栓形成和抗凝》。

更多精彩内容请点击此处观看丁香公开课全部课程。

封面图片来源:shutterstock 网站

展开全部

Ashley Strobel 丁香诊所 美国马里兰大学

Ashley M. Strobel, 美国马里兰大学急诊和儿科医学讲师。MD, University of Maryland Upper Chesapeake Health


Postgraduate Education and Training:
2010‒2015 Combined Emergency Medicine and Pediatrics Residency
University of Maryland Medical Center
Baltimore, Maryland

2014-2015 Chief Resident
Combined Emergency Medicine and Pediatrics Residency

Education:
2006‒2010 Doctor of Medicine (magna cum laude)
St. George’s University School of Medicine
Grenada, West Indies

2001‒2005 Bachelor of Science (majors: Spanish and Biology)
University of Wisconsin-Madison
Madison, Wisconsin


Foreign Language: Fluent in Spanish

Certifications:
March 28, 2014 Neonatal Resuscitation Program
August 13, 2014 Pediatric Advanced Life Support
September 3, 2014 Basic Life Support
July 17, 2015 Advanced Cardiac Life Support
April 22, 2010 ECFMG Certification


Medical Licensures:
2015 Maryland (active)
2015 Minnesota (pending)

Clinical Employment History:
2015 – present Assistant Professor, Department of Emergency Medicine
Director of Pediatric Emergency Medical Education
Hennepin County Medical Center and University of Minnesota Masonic Children’s Hospital
Minneapolis, MN

2015- present Pediatric Emergency Medicine Physician
University of Maryland Upper Chesapeake Health
Bel Air, MD


Other Employment History
April 2010‒present Interviewer and Representative, Interview Committee,
St. George’s University


Professional Memberships:
2010‒2015 Emergency Medicine Residents Association (EMRA)
2010-2015 American College of Emergency Physicians (ACEP)
2010-2015 American Academy of Pediatrics (AAP)
2010-2015 American Academy of Emergency Medicine (AAEM)
2013‒2015 American Medical Society for Sports Medicine (AMSSM)

Honors and Awards:
2015 University of Maryland Department of Pediatrics, Carol Carraccio Service Award
2010 Gold Humanism Honor Society, St. George’s University
2010 Magna Cum Laude, St. George’s University
2007‒2010 Iota Epsilon Alpha Honors Society, St. George’s University

Institutional Service:
2014-2015 EM-Pediatrics Residency Curriculum Development
March 2014 ED Optimization QI Project, Cannon Design, University of Maryland Medical Center
September 2011 Medical Team, Baltimore Grand Prix, with Dr. Benjamin Lawner and Dr. Wade Gaasch

National Service:
2015-2016 Chair, Pediatric Emergency Medicine Division, Emergency Medicine Residents Association
2014‒2015 Pediatric Section Editor, EMResident
2013‒2015 Vice Chair, Pediatric Emergency Medicine Division, Emergency Medicine Residents Association

Teaching Service:
Invited Lectures
July 8, 2015「High Yield Pediatric Orthopedic Emergencies」, University of
Maryland Emergency Medicine Pediatrics Grand Rounds [CME].

Lectures:
January 2012「From the Rock to Charm City,」IEA Honors Society Lecture, St. George’s University, Grenada, West Indies
February 2013「Neonatal Seizures Secondary to Transient Hypoparathyroidism: A Review of Neonatal Seizure,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
March 2013 Instructor, EMT-1 Cadaver Airway Course, Community College of Baltimore Country, Baltimore MD
June 2013「Pediatric Electrocardiograms: The Math and the Mystery,」Junior Lecture, Emergency Medicine Residency, Pediatric Emergencies Conference, University of Maryland Medical Center
July 2013 Instructor, Emergency Medicine Student Cadaver Lab, University of Maryland School of Medicine, Baltimore, MD
March 2014「Here’s Looking at You, Kid: Pediatric Ophthalmologic Emergencies」Senior Lecture Conference, Emergency Medicine Residency, University of Maryland Medical Center
May 2014「Anaphylaxis: Pediatric versus Adult,」Division of Pediatric Allergy and Immunology Elective, University of Maryland Medical Center
September 2014「Hematuria: A Case of Adenovirus Cystitis,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
October 2014「Fever and Abdominal Pain Presenting as Right Tibial Osteomyelitis: A Review of Osteomyelitis,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
February 2015「Picking out a Cardiac Infant in the ED: MISSION IMPOSSIBLE?」Senior Presentation, Department of Emergency Medicine, University of Maryland Medical Center

Simulation Education Sessions, Instructor, Pediatric Residency:
May 2013 Pediatric Supraventricular Tachycardia
July 2014 Pediatric Lumbar Puncture and Intraosseous Access Skills
July 2014 Laceration, Bite, and Abscess I&D Skills
August 2014 Pediatric Respiratory Distress: Part I
August 2014 Pediatric Respiratory Distress: Part II
August 2014 Intravenous Access and Phlebotomy Skills
August 2014 Laceration Repair and Abscess I&D Skills
January 2015 Airway, Laceration, and LP Refresher Skills Lab
January 2015 Pediatric Supraventricular Tachycardia
February 2015 Pediatric Septic Shock
February 2015 Pediatric Nursing Intravenous Access and Phlebotomy Skills
更多

网友讨论