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ToxCard: Iron

EMDocs

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Blood transfusion for clinically significant blood loss. The oral bioavailability of inorganic iron is < 10%; ferrous iron (Fe 2+ ) is better absorbed than ferric iron (Fe 3+ ).

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Episode 16: “Blood”

PHEM Cast

Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR: Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012. Prehospital transfusion of plasma and red blood cells in trauma patients. .: Prehospital transfusion of plasma and red blood cells in trauma patients. J Trauma Acute Care Surg.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Would you consider this patient for blood transfusion?