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Critical Care Management Of Bleeding Disorders: Emergency Department Best Practices (Critical Care CME) - $89.00

Critical Care Management Of Bleeding Disorders: Emergency Department Best Practices

This compilation of issues, originally published in EM Critical Care, represents a valuable collection of research and analysis on blood products and the management of bleeding disorders. They are written specifically for emergency clinicians who manage critically ill patients within their emergency departments. Since publication of these 3 important EM Critical Care articles, there have been several important updates in the arenas of blood product transfusion in the critically ill. The issues have been reviewed, and important new research and literature have been summarized here in a special update section.

Included In This Book:

1. 55 pages of evidence-based content, covering 3 critical topics
2. 9 AMA PRA Category 1 Credits^TM, which are critical care-specific
3. Must-do markers of quality care to help you keep up with current guidelines and best practices
4. Treatment recommendations to help you determine the critical actions required when caring for these patients
5. And much more!

• Recent evidence on transfusion ratios of plasma, platelets, and red blood cells (the PROPPR trial)
• Day 1 or Day 42: Does the age of blood products matter?
• Platelet transfusion after stroke
• 2016 guidelines on reversal of antithrombotics in intracranial hemorrhage
• Reviewing the use of nasogastric tube lavage and prophylactic antibiotics in upper GI bleeding

The 3 issues covered in this update address some of the most pressing concerns for emergency clinicians:

Issue 1

Proper Use of Blood Products: It is imperative that emergency physicians have a basic understanding of blood products and the indications and risks associated with their use. Evidence-based, restricted use of blood components in critically ill patients can lead to decreased mortality while avoiding unnecessary morbidity and complications. Recognition of the need for irradiated or leukoreduced components in special populations further reduces adverse events. This issue reviews the preparation of blood components and indications for their use, infusion of products, and the determination of stability after infusion.

Issue 2

Management Of Coagulopathy In Patients With Acute Intracranial Hemorrhage: In the setting of an acute intracranial hemorrhage, very small amounts of additional bleeding may result in catastrophic consequences to the patient. When a coagulopathic patient with an intracranial hemorrhage presents to the emergency department, rapid reversal of coagulopathy is the most urgent medical intervention. Treatment of coagulopathy is necessary both to prevent hematoma expansion and facilitate neurosurgical interventions. This article reviews existing data and recommendations and suggests an approach to managing coagulopathy in patients with various forms of acute intracranial bleeding.

Issue 3

Resuscitation Of The Patient With Massive Upper Gastrointestinal Bleeding: Managing an unstable patient with massive gastrointestinal bleeding can be challenging, but effective management can optimize patient outcomes. Knowledge of the emergency procedures and medications available, as well as familiarity with the treatment modalities used by consultants, will help the emergency physician orchestrate the care necessary to ensure patient survival.
 

Publication Information:

Publication Date: October 1 , 2016

CME Expiration Date: October 1, 2019

CME: This enduring material includes 9 AMA PRA Category 1 Credits^TM. (Critical Care CME)

Editor

William A. Knight, IV, MD, FACEP, FNCS
Associate Professor of Emergency Medicine and Neurosurgery; Medical Director, Emergency Medicine Advanced Practice Provider Program, Associate Medical Director, Neuroscience ICU, University of Cincinnati, Cincinnati, OH; Critical Care Editor, Emergency Medicine Practice

Authors

Kevin Scott, MD
Department of Emergency Medicine, University of Pennsylvania Health System, Philadelphia, PA

Colin Greineder, MD, PhD
Instructor, Department of Emergency Medicine, Postdoctoral Research Fellow, Institute of Translational Medicine and Therapeutics, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA

Lauren Weinberger Conlon, MD
Associate Residency Director, Department of Emergency Medicine, Assistant Professor, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA

Isaac Tawil, MD
Assistant Professor, Department of Surgery, Department of Emergency Medicine, University of New Mexico Health Science Center, Albuquerque, NM

David B. Seder, MD, FCCP
Director of Neurocritical Care, Maine Medical Center, Portland, ME; Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA

Jennifer Duprey, DO, MPH
Pulmonary and Critical Care Medicine, Maine Medical Center, Portland, ME

Ryan G. K. Mihata, MD, MPH, FACEP
Assistant Professor of Emergency Medicine/Critical Care, Wright State University, Boonshoft School of Medicine, Dayton, OH

John-Adam Bonk, MD
Department of Emergency Medicine, Wright State University, Boonshoft School of Medicine, Dayton, OH

Meaghan P. Keville, MD
Department of Emergency Medicine, Wright State University, Boonshoft School of Medicine, Dayton, OH