PPT-Transfusion Medicine and Bleeding Disorders

Ashley Inman November 6 2014 Bleeding Disorders Result From Increased fragility of vessels Platelet deficiency or dysfunction Derangement of coagulation Vascular wall Endothelium Antithrombotic. Upper GI Bleeds; what’s your threshold. ?. Guidelines. T. he . British Society of . Gastroenterology guidelines . on Acute GI bleeding recommends the use of the Blatchford Score for Risk stratifying . McNicol. Improves the patient’s own blood and avoids unnecessary transfusions. .. ‘THE THREE PILLARS’. Minimise blood loss. Optimise blood volume and red cell mass. Optimise patient’s tolerance of anaemia. Determine volume and type of product, guided by clinical findings, estimated weight laboratory results and, if available, POC testing. Consult . haematologist. /transfusion specialist . as needed. Laboratory staff. Disclosures- None. National Health Expenditures, 2009. $. 2.5 trillion. February 6, 2014. February 6, 2014. Uwe. E. Reinhardt: . http://economix.blogs.nytimes.com/2010/12/24/fees-volume-and-spending-at-medicare/#more-94191. Laboratory Medicine. . and . Anatomic Pathology. Chemistry/Immunology. Microbiology/Virology. Transfusion Medicine. Apheresis. Blood Bank. Hematology/Flow . Cytometry. Tumor Profiling. Autopsy. Cytology. Medicine . Unit and Stem Cell Lab. Got Blood?. What’s Your Type?. Who Are We?. We . are 40 . NYS Licensed Medical Technologists and 4 Licensed Medical Physicians who specialize in Blood Banking, Transfusion Medicine, and Stem Cell Processing.. Infusion of . blood products . for the purpose of restoring circulating volume.. Administration . of blood and blood components requires knowledge of correct administration techniques and possible complications. Risk per . UNIT . Allergic. 3:100. Febrile . (. Leuko. -reduced Units). 1:100. TACO. 1:100. TRALI. 1:5,000. Sepsis. 1:5,000. Acute. hemolytic. 1:75,000. HBV. 1:160,000. HIV & HCV. 1:2. . million. .” . . –Robert Beal, past director of International Federation of Red Cross. Transfusions: History. 1660s: First experiments in blood transfusion, transfused dog blood to humans. Patient died and experiments were banned.. A candidate admitted to undergo a Three year M.D. Transfusion Medicine This guidance is based on the National Blood Transfusion Committee (NBTC) Indication Codes for Transfusion ( January 2020) The indications for transfusion provided below are taken from national gui Ebrahim Hazrati(1), Babak Paknejhad(2), Azita Chegini(3), Mohammadreza kosari(4), Mohammadali Sharifi(5),. Alireza Rezaei(6). 1-Assistant . Professor of Anesthesiology Department of AJA University of Medical Sciences, Imam Reza Hospital, Tehran, . Dr. Mohammad Al-. Katari. Consultant Adult Hematology & Internal Medicine. King Khalid University Hospital – King Saud University. Outlines . Bleeding Disorders. Overview of Hemostasis.. Approach to the bleeding Pt.. . . Red blood cells . Most . RBC products are derived by collection of 450-500 (±10.