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Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble bloodtransfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.
Correction: Correction to ‘Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department’ [Annals of Emergency Medicine 63 (2014) 247-258.e18]. Ann Emerg Med. 2017;70(5):758. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al.
Massive BloodTransfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine. Date: December 16th, 2022 Reference: Hohle et al.
Weaver AE, Eshelby S, Norton J, Lockey DJ: The introduction of on-scene bloodtransfusion in a civilian physician-led pre-hospital trauma service. Bodnar D, Rashford S, Williams S, Enraght-Moony E, Parker L, Clarke B: The feasibility of civilian prehospital trauma teams carrying and administering packed red blood cells.
2014, (Ch) 125: p 1636-53. Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5 Louis, Mosby, Inc., 2013, July 2).
Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9%
However, on occasion — dual AV nodal pathways physiology may be operative ( Mani BC & Pavri BB: Dual AV Nodal Pathways Physiology — Indian Pacing Electrophysiol 14[1]:12-25, 2014 ). As a result — all that may be needed is consideration of bloodtransfusion + efforts to determine ( and correct ) the cause of anemia.
In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! As Jeff mentioned a few minutes ago, diagnostic criteria have undergone so so so many changes. Jeff : Yes it has! 1991 marked the first standardized definition. Sepsis-3!!
His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, bloodtransfusions, antibiotics, and intravenous (IV) crystalloids. 2014 Feb;69(2):144-51. Triage vital signs include BP 127/81, HR 119, T 102.9
Be careful if the patient has received a recent bloodtransfusion 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 bloodtransfusion. Would you consider this patient for bloodtransfusion?
Aplastic Crisis: In individuals with underlying hematologic disorders, an aplastic crisis may require bloodtransfusion to replace lost red blood cells. In some cases, intrauterine bloodtransfusions may be necessary for the fetus. 1, 2014, pp. Immunoglobulin therapy may be considered in severe cases.
Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. 2018 Nov 22;379(21):2002-2014. 2024 Oct 9. doi: 10.1001/jama.2024.20424. 2024.20424. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. doi: 10.1056/NEJMoa1802598.
A whole bloodtransfusion is initiated for the management of her anemia. She receives IV antimalarials for severe malaria (as defined by AKI, anemia, electrolyte imbalance, and a history of convulsions). Hypoglycemia is managed with IV dextrose. Qual Health Res. 2022;32(1):48-63. doi:10.1177/10497323211046238 U.S.
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