PulmCCM

DECEMBER 16, 2024

When deciding whether to transfuse red blood cells to critically ill patients with anemia, less is more, generally speaking. Because transfusion can be harmful, current practice is to usually restrict it in the ICU to patients with hemoglobin less than 7 g/dL.

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PulmCCM

JUNE 22, 2024

When it comes to red blood cell transfusion during critical illness, less is more, generally speaking. Because transfusion can be harmful, current practice is to usually restrict it in the ICU to patients with hemoglobin less than 7 g/dL. Some patients, though (e.g.,

Blood Transfusions 52

Blood Transfusions 52

The Trauma Pro

MAY 26, 2023

Possible interventions were none, operation, angioembolization, or blood transfusion. They examined how often serial hemoglobin determinations influenced management during the study period. That patient had a laparotomy based on the lab test.

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Blood Transfusions Operations Pediatrics Hospitals 100

RebelEM

FEBRUARY 1, 2024

What they Did : Investigator-initiated, Multicenter, Parallel-ground, Open-label, Registry-linked, Randomized, Controlled, Non-Inferiority trial 22 Canadian Primary and Comprehensive Stroke Centers from December 2019 to January 2022 Eligible ischemic stroke patients randomized 1:1 to receive intravenous tenecteplase (0.25 mg/kg followed by 0.81

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Stroke Blood Transfusions Outcomes EMS 134

The Trauma Pro

OCTOBER 10, 2023

This can result in catastrophic errors if test results are misinterpreted, or a blood transfusion with incorrect ABO typing is given to the wrong patient. There are too many opportunities to mix up similar names, especially if the last one is always the same. Some use number and letter sequences combined with another unique word.

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Blood Transfusions Best Practices Hospitals Wellness 113

The Trauma Pro

SEPTEMBER 20, 2023

Until the last few years, massive transfusion in trauma consisted of component therapy, an admixture of packed red cells, plasma, and platelets. Whole blood transfusion is making inroads again, but it is used in a minority of centers.

Military 113

Military Blood Transfusions Administration Outcomes 113

The Trauma Pro

JUNE 18, 2024

Several adult and pediatric trauma centers in the Denver area collaborated to test a new score using the ABC-S score in combination with serum lactate and base deficit. This was termed the ABC-D score.

Pediatrics 113

Pediatrics Blood Transfusions Resuscitation Shock 113

Sensible Medicine

SEPTEMBER 20, 2024

It may not feel as satisfying as diagnosing an upper GI bleed and seeing the patient feel better after a blood transfusion, but it’s just as vital a part of our job.

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Blood Transfusions Wellness 113

ALiEM

NOVEMBER 3, 2023

Highlighted Quality Posts: Trauma Site Article Author Date Label Rebel EM Trauma Resuscitation Update Salim Rezaie, MD May 25, 2023 AIR EM Docs Unstable Pelvic Trauma Patient Luke Wohlford, MD June 3, 2023 AIR EM Docs Maxillofacial Trauma Forrest Turner, MD October 17, 2022 AIR Rebel EM PATCH trauma trial Anand Swaminathan, MD June 19, 2023 HM Don’t (..)

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Blood Transfusions EMS Emergency Department Resuscitation 84

PulmCCM

OCTOBER 3, 2023

Among 324 patients with trauma and life-threatening bleeding at 12 French hospitals who were randomized to receive 1ml/kg PCC or placebo, there was no reduction observed in 24-hour blood transfusion needs in the PCC group. PCC was associated with a significantly higher risk for thromboembolic complications (35% vs 24%). Read in JAMA

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Blood Transfusions Hospitals 52

Emergency Medicine Cases

JUNE 27, 2017

Dr. Lloyd reviews how to avoid needless blood transfusions, the indications for IV iron and how to actually administer IV iron, while Dr. Clarridge reviews a novel approach, causes, complications and management of hyponatremia in the ED.

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Blood Transfusions EMS 52

EMergucate

MAY 17, 2016

Anaemia Anticoagulants Bleeding Disorders Blood Transfusion Reactions Blood Transfusions DIC Haemoglobinopathies Haemostasis & Coagulation Methaemoglobinaemia Neutropaenia Platelet Disorders Thrombophilia

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University of Maryland Department of Emergency Med

AUGUST 18, 2023

In this small propensity matching study looking at prehospital blood transfusion vs. emergency department blood transfusion in trauma patients ag. Click to view the rest

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Blood Transfusions Pediatrics Emergency Department 40

PEMBlog

APRIL 24, 2024

Retrospective use has been shown to be valid and reliable in one cross-sectional study ( Beslow 2012 ).This Early consultation with a pediatric hematologist and neurologist is mandatory. References / Key Articles Ichord RN, Bastian R, Abraham L, et al.

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Stroke Pediatrics Blood Transfusions Radiology 59

Intensive Blog

AUGUST 17, 2023

What is an appropriate “trigger threshold” for blood transfusion in ECMO patients? Blood transfusion is common in ECMO patients, as evidenced by almost 90% of all patients receiving at least one packed red blood cell transfusion during VV-ECMO support (Kalbhenn and Zieger, 2022). 2020.08.068.

Blood Transfusions 52

Blood Transfusions Operations Wellness 52

EMergucate

AUGUST 23, 2017

An 80 year old women with severe anaemia secondary to GI bleed Severe anaemia requiring urgent blood transfusion, correction of … Continue reading →

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Blood Transfusions Resuscitation EMS 40

ACEP Now

MAY 3, 2023

Management requires hospitalization for hydration, oxygenation, intravenous antibiotics, pain control, and blood transfusions and, in some cases, exchange transfusion. See the original question here.) Member Benefit: All ACEP members receive a 20 percent discount on VisualDX. Reference Winter MW, Ingerowski E, Prasad P.

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Blood Transfusions Hospitals 52

PulmCCM

NOVEMBER 17, 2023

In the second thought experiment, let us consider a patient with significant blood volume loss that is replenished with a series of blood transfusions. This gives the appearance of causation, but it is an association. Again, to simplify this thought experiment, we assume that P pc , R vr and R cardiac are constant [Figure 1B].

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Operations Ultrasounds Resuscitation Blood Transfusions 132

Dr. Smith's ECG Blog

JULY 3, 2020

The patient was in shock on arrival in the ED — and multiple blood transfusions were needed. ANSWERS regarding ECG #1: Severe trauma requiring blood transfusions is a common emergency presentation. Blood and fluid volume was rapidly restored, and acidosis was probably quickly corrected. WHY is the QRS complex wide?

Blood Transfusions 52

Blood Transfusions EKG/ECG Shock Fractures 52

Don't Forget the Bubbles

NOVEMBER 27, 2023

The citrate in blood products can also bind to calcium and cause a drop in calcium levels, so do anticipate this for any children requiring blood transfusion. Shock and sepsis itself can cause low calcium levels due to intracellular shifts and lactate-binding calcium.

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Shock Sepsis Fluid Resuscitation Resuscitation 143

American Medical Compliance

SEPTEMBER 10, 2023

” What you will learn: Definition of informed consent Issues of concern related to informed consent Informed consent and blood transfusions Informed consent in healthcare When informed consent is necessary How to obtain informed consent Details Course length: 30 minutes; CEU: 0.5

Blood Transfusions 52

Blood Transfusions Documentation/Coding Operations 52

RebelEM

OCTOBER 19, 2022

Hayes 2013 ) Disposition: Admission to monitored setting if ongoing intravenous repletion (bradycardia and hypertension may occur) Consider giving prophylactic calcium supplementation in patients receiving massive transfusions. mg/dL or an ionized calcium level < 2.0 mEq/L Background Exists in two states Free ionized form (approx.

EKG/ECG 52

EKG/ECG Blood Transfusions Burns EMS 52

The Skeptics' Guide to EM

MARCH 10, 2018

TXA has been widely used in elective surgical cases and has shown decreased need for blood transfusion and reduction in mortality. TXA is a synthetic derivative of lysine that inhibits fibrinolysis and thus stabilizing clots that are formed. It made sense to look at it for the treatment of epistaxis.

Blood Transfusions 40

Blood Transfusions Emergency Department Shock Hospitals 40

Taming the SRU

AUGUST 4, 2024

Can present in a delayed fashion, does not always occur immediately after pacemaker placement Delayed presentations present with signs and symptoms of cardiac tamponade in two-thirds of cases Abdominal Aortic Aneurysm Repair is usually indicated when aortic diameter is >5.5

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Dislocations Emergency Department Documentation/Coding Burns 86

Emergency Medicine Ireland

OCTOBER 17, 2022

An intensive care unit admission is bad for cancer as there is a sort of immunosupression that comes about with being critically ill, leading to depletion in things like natural killer cells who were rightfully killing off cancer cells till the pneumonia, steroids and blood transfusions came along.

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Dr. Smith's ECG Blog

SEPTEMBER 9, 2020

As a result — all that may be needed is consideration of blood transfusion + efforts to determine ( and correct ) the cause of anemia. No treatment of AV block would seem indicated at this time. My sincere THANKS to Drs. Baranchuk and Jones for adding additional intrigue to this case!

EKG/ECG 52

EKG/ECG Blood Transfusions Operations Hospitals 52

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. Transfusion reactions are a spectrum of adverse events that can occur with the transfusion of whole blood or any of its components. One of the major risk factors is receiving a blood transfusion in the past.

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Blood Transfusions Anaphylaxis Emergency Department Sepsis 91

EM Ottawa

MAY 31, 2024

Questions and methods: This multicenter, open-label, RCT of 3604 patients with MI with anemia compared 30-day all-cause mortality and recurrent nonfatal MI between liberal vs restrictive transfusion thresholds. Methodology: 4/5 Usefulness: 3.5/5 5 Carson JL, et al. N Engl J Med. 2023 Dec 28;389(26):2446-2456. doi: 10.1056/NEJMoa2307983.

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Blood Transfusions 65

Dr. Smith's ECG Blog

AUGUST 14, 2023

At this point — I got to see a prior ECG on this patient ( = ECG #2 in Figure-1 ) — and learned about the patient's History ( ie, Sickle Cell Disease with frequent emergency visits for blood transfusions, heart failure, renal insufficiency and pulmonary hypertension from restrictive lung disease with chronic hypoxemic respiratory failure and a history (..)

EKG/ECG 52

EKG/ECG Blood Transfusions Wellness 52

Mind The Bleep

JULY 23, 2023

Increased risk in growth restricted infants, premature babies, maternal drug abuse, formula fed babies, infants receiving blood transfusions. Age at Onset: Typically presents around 2-3 weeks old but can present earlier or later than this.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

University of Maryland CC Project

OCTOBER 11, 2023

In his lecture, he reviews the results of prior studies of transfusion hemoglobin thresholds during critical illness and discusses the use of regression discontinuity study design to help answer this important. Nick Bosch, MD, MSc is an assistant professor in the pulmonary division at the Boston University School of Medicine.

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Blood Transfusions Resuscitation 40

University of Maryland CC Project

SEPTEMBER 9, 2021

Chee Chan, a Pulmonary Critical Care physician and Medical Director of the Medical Intermediate Care Unit at MedStar Washington presents an interactive discussion on shock as part of the DC5 lecture series.

Shock 40

Shock Blood Transfusions Sepsis 40

EMergucate

AUGUST 25, 2020

On a busy night shift, the medical emergency alarm went off in the EAU area. A 33-year-old lady who was receiving the first unit of PRBC for her anemia complicated by the menorrhagia, feeling very …

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Blood Transfusions EMS 40

EMDocs

MAY 15, 2024

Management includes rapid initiation of opioid and non-opioid agents to treat the pain associated with vaso-occlusive crisis, antimicrobial coverage, incentive spirometry, oxygen supplementation to maintain saturation > 95%, fluid resuscitation based on volume status, consideration for transfusion, and specialist consultation.

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Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 105

EMDocs

MAY 28, 2024

Blood transfusion Reduces the overall proportion of HbS. Simple blood transfusion should be considered early in the hypoxemic patient with advancement to red cell exchange transfusion if there are clinical features of severe pathology or evidence of progression despite initial simple transfusion.

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Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 98

Emergency Live

MARCH 12, 2024

The Importance of Blood Donation and Its Health Benefits The Importance of Blood Donation Blood donation is an altruistic act that can make the difference between life and death for many people. Every day, thousands of individuals worldwide rely on blood donations to receive life-saving medical care.

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Blood Transfusions 98

The Trauma Pro

SEPTEMBER 18, 2023

Severe injury and blood transfusion are already known to be associated with a higher likelihood of VTE. The fact that the longer door-to-prophylaxis group had more frequent VTE may very well be due to their higher ISS and greater number of transfusions. And the authors remind us that this study shows association, not causation.

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Blood Transfusions Resuscitation Hospitals Wellness 113