Risk Stratification and Decision-Making for Anticoagulation Therapy in Rural Emergency Settings: When to Start Before Discharge
Moderator:
- Joe Miller, MD, MS – Clinical Associate Professor of Emergency Medicine at Henry Ford Health, Detroit, MI
Panelists:
- Adam Oostema, MD – Associate Professor of Emergency Medicine at Michigan State University College of Human Medicine, Grand Rapids, MI
- Iltifat Husain, MD – Associate Professor of Emergency Medicine at Wake Forest University School of Medicine in Winston-Salem, NC
Deciding to send a patient home on anticoagulation for thromboembolic disease or atrial fibrillation (Afib) presents unique challenges. The risk of bleeding, risk stratification for Afib, and the need for anticoagulation all play key roles in clinical decision-making. Additional hurdles often include insurance issues and access to primary or specialty care, particularly in rural and underserved settings, where resources may be limited.
In this podcast we explore the differences in emergency medicine practice between rural and underserved areas versus suburban or urban settings. Topics include:
- How clinical decision-making varies in rural or underserved emergency medicine
- Approaches when patients have unclear or no insurance coverage for anticoagulation
- Strategies for assessing bleeding risks when initiating anticoagulation therapy
- And much more
Reference:
Funding for this initiative was made possible in part by grant number 94931593 from AstraZeneca.
