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Evaluation and management of congenital bleeding disorders. [Review]

MedStar author(s):

Citation: Emergency Medicine Clinics of North America. 32(3):673-90, 2014 Aug.PMID: 25060256Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Blood Coagulation Disorders, Inherited/di [Diagnosis] | *Blood Coagulation Factors/tu [Therapeutic Use] | *Hemorrhage/et [Etiology] | Blood Coagulation Disorders, Inherited/dt [Drug Therapy] | Blood Coagulation Disorders, Inherited/pp [Physiopathology] | Emergency Service, Hospital | HumansYear: 2014 Local holdings: Available online from MWHC library: 1996 - presentISSN:

0733-8627

Name of journal: Emergency medicine clinics of North AmericaAbstract: Patients presenting to the emergency department with acute bleeding and a history of clotting or platelet disorder present a unique challenge to the emergency physician. The severity of bleeding presentation is based on mechanism as well as factor levels: patients with factor levels greater than 5% can respond to most minor hemostatic challenges, whereas those with factor levels less than 1% bleed with minor trauma or even spontaneously. Treatment should be initiated in consultation with the patient's hematologist using medications and specific factor replacement, except in rare, life-threatening, resource-poor situations, when cryoprecipitate or activated prothrombin complex may be considerations. Copyright 2014 Elsevier Inc. All rights reserved.All authors: Bhat R, Cabey WFiscal year: FY2015Digital Object Identifier:

http://dx.doi.org/10.1016/j.emc.2014.04.009

Date added to catalog: 2014-09-23

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	25060256	Available		25060256

Available online from MWHC library: 1996 - present

Patients presenting to the emergency department with acute bleeding and a history of clotting or platelet disorder present a unique challenge to the emergency physician. The severity of bleeding presentation is based on mechanism as well as factor levels: patients with factor levels greater than 5% can respond to most minor hemostatic challenges, whereas those with factor levels less than 1% bleed with minor trauma or even spontaneously. Treatment should be initiated in consultation with the patient's hematologist using medications and specific factor replacement, except in rare, life-threatening, resource-poor situations, when cryoprecipitate or activated prothrombin complex may be considerations. Copyright 2014 Elsevier Inc. All rights reserved.

English