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. Also its possible for otherwise healthy people to develop severe illness so any one concerned about their illness should consult their doctor There are emergency warning signs that should signal anyone to seek medical care urgently Emergency Warning Ron Hoffman, MD. Thrombosis & Hemostasis Unit. Rambam Medical Center. Objectives. . Clinical aspects of bleeding. Medical history. Personal. Family . Physical exam. Approach to laboratory abnormalities. Morey A. Blinder, M.D.. Associate Professor of Medicine. and Pathology & Immunology. Objectives. Coagulation factor disorders and treatment. Disorders of platelets and platelet transfusion. Adjunctive drug therapy for bleeding. “Blood transfusion is like marriage: it should not be entered upon lightly, unadvisedly or wantonly or more often than is absolutely necessary. .” . . –Robert Beal, past director of International Federation of Red Cross. Elizabeth S. Allen, MD. Outline. Platelets. Problems with Platelets. Pathogen Reduced Platelets. UCSD Implementation Strategy. Objectives. Understand the risks of conventional platelet transfusion. Describe the mechanism and effects of pathogen reduction technology. 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. . Daradka. University Of Jordan. School Of Medicine. General . S. urgery Department . A Transfusion Dilemma. A 72 year old woman presents to ER with a nosebleed. This is her second visit in 24 hours with the same complaint. Her nose is packed and the bleeding stops.. 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.. .. ‘THE THREE PILLARS’. Minimise blood loss. Optimise blood volume and red cell mass. Optimise patient’s tolerance of anaemia. What is patient blood management?. Paradigm Shift. . 2001 Guidelines for . Released October 2014 Table of ContentsIntroductionDevelopment of a Massive Transfusion Protocol: Engagement and ScopeTriggers for Initiating Massive TransfusionBlood Product Resuscitation in the Trau Prepared by:. Mr. Hamza . Ratrout. Dr. Irene . Roco. . BLOOD TRANSFUSION. 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. OUTLINE. Introduction. Safe transfusion. Indications. Suitable donors. Storage and use of blood components. Procedure. Massive blood transfusion. Complications. Blood substitutes. Management of transfusion reactions.