EM physician | Adult Thrombosis Fellow @MacDeptMed | MSc Candidate @HEI_mcmaster. Interested in Trauma Medicine and Thrombosis. Views my own.
Toronto, Ontario
Joined August 2021
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Reassuring for anyone still hesitating on TXA at the bedside. Randomization to TXA showed no association with arterial or venous thrombotic/thromboembolic events.
❇️Best of Trauma❇️
"Thrombotic and thromboembolic events were not associated with tranexamic acid in three large randomized controlled trials"
In this sub analysis of data from 3 large randomized controlled trials on TXA, no association was found between randomization to TXA and risk of arterial or venous thrombotic or thromboembolic events.
journals.lww.com/jtrauma/abs…
HI-PEITHO just published in NEJM.
First adequately powered RCT of catheter-directed thrombolysis vs anticoagulation alone in intermediate-high-risk PE.
Here's what the data show; and what they don't. 🧵
A few things worth keeping in mind before updating practice:
- No mortality benefit demonstrated; the signal is in short-term decompensation.
- It remains unclear whether the ultrasound component adds anything over low-dose catheter alteplase alone.
The field now has level-1 evidence where it had none. That matters.
The caveats are real, but so is the signal.
@NEJMGroup @ACCinTouch
#PulmonaryEmbolism #HIPEITHO #NEJM #Thrombosis #CriticalCare
Fayad Al-Haimus retweeted
(1/3) Young patient with massive PE POST thrombolysis. still in shock.
HR 130 BP 78/54 Lactate 7 Cap refil > 5 seconds
LVOT VTI 7. TEE shown.
On norepinephrine 70 mcg/min, Vaso 2.4U/hr, ventilated.
What's your hemodynamic strategy?
(what we did 👇)
Fayad Al-Haimus retweeted
Fayad Al-Haimus (@HaimusAl) on PE in Pregnancy: Some Common Pitfalls
@ThrombosisCan
hemostasistoday.com/insight/…
#CXR #DDimer #DVT #Health #Hematology #Hemostasis #HemostasisToday #Medicine #PE #Thrombosis #VTE #MedEd #MedX
Interesting paper.
Makes me wonder; would the results look different with partial REBOA or more precise titration strategies?
REBOA = higher mortality (47% vs 36%), more transfusions, longer time to OR. No survival benefit. Check the new study by Hatchimonji et al. bit.ly/441iuXH and Jansen's commentary bit.ly/48a2TYi.
@jhatchmd @dianehaddadmd @pdowzicky @markseamonmd
I decided to take the train from Vienna to Budapest. What a beautiful city. History and architecture at every corner! 🇭🇺
Had the privilege to speak at #EUSEM2025 🇦🇹 on high-risk pulmonary embolism & the value of PERT teams in the ED. Great discussions with colleagues across Europe!
#PulmonaryEmbolism #PERT #eusem2025
Fayad Al-Haimus retweeted
🩸 CAEP National Grand Rounds – Sept 17
Bleeding Edge: Optimizing Trauma Care
💻Virtual | 🎓 CPD Accredited | 🕛2 PM ET
Join us for an impactful session led by top trauma experts from St. Michael’s Hospital! Learn how massive hemorrhage protocols, adjunctive therapies, and viscoelastic testing are transforming trauma care in Canada.
Register now 🔗 caep.ca/cpd-courses/caep-nat…
#CAEPGrandRounds #TraumaCare #EmergencyMedicine #CPD
Honoured to receive the Best Resident Talk Award (2024–2025) from U of T Emergency Medicine!
This recognition means a lot — especially coming from such an inspiring and supportive community of educators, mentors, and colleagues. Grateful to be part of it.
#Emergencymedicine
Landmark Update: ASH & ISTH release new Pediatric VTE Guidelines since 2018
🔹 DOACs (rivaroxaban/dabigatran) conditionally preferred over LMWH/UFH/VKAs
🔹 Low-risk provoked VTE: 6 weeks tx (vs. 3mo)
🔹 Unprovoked DVT/PE: 6–12mo (no longer indefinite)
hemostasistoday.com/organiza…
Fayad Al-Haimus retweeted
This was so much fun to put on and be a part of. Again a huge thanks to all our attendees and sponsors for making the day such a success! Missed out?…stay tuned…we’ll be posting the meeting online shortly! #ResusWithTREx
Excited to share some highlights from the Toronto Resuscitation Conference, hosted by @FIRST60_resus in collaboration with Ornge. Check out what #teamOrnge experienced and learned at this impactful event!
#ResusWithTREx
Fayad Al-Haimus retweeted
"We are not afraid to do this. We are the only researchers in the world addressing who needs pulmonary embolism testing." Dr. Kerstin de Wit’s (@kerstindewit) @queensuResearch is transforming how we detect pulmonary embolism, using AI-driven tools to improve testing and save lives. Watch here ➡️ bit.ly/40Fg7Wm
ALT Dr. Kerstin de Wit with text that reads, "5 à 7 Research Talks"
The paper recommendation: PERT should be the standard of care for the management of patients with acute PE.
1/ Check out our latest publication in @amjcardio #ajc evaluating #PERT for patients admitted with acute PE
#PERTconsortium
ajconline.org/article/S0002-…
@SripalBangalore @Robertshiuzhang @krosenfieldMD @carlosalviar @jameshorowitzmd @rosovskyrachel
What we have for AI in the field of Pulmonary embolism (PE):
Aidoc’s FDA-cleared AI solution for pulmonary embolism detects both acute and incidental PEs on CT scans.
It flags PE on PACS/RIS. Not sure if we have it in Canada or been tested here.
#Pulmonary embolism #AI
It’s already in use at several institutions like University Hospitals (OH), UChicago Medicine, UZ Brussel, and major centers in Israel and German