Evaluation and Management of Congenital Bleeding Disorders. [Review] 

 -  2017 
<br/><br/>Available online from MWHC library: 1996 - present 
<br/><br/> Copyright (c) 2017 Elsevier Inc. All rights reserved.  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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0889-8588 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Blood Coagulation Disorders, Inherited/di [Diagnosis]<br/>*Blood Coagulation Disorders, Inherited/dt [Drug Therapy]<br/>*Blood Coagulation Factors/tu [Therapeutic Use]<br/>*Emergency Medical Services/mt [Methods]<br/>*Factor VIII/tu [Therapeutic Use]<br/>*Fibrinogen/tu [Therapeutic Use]<br/>Humans<br/>Wounds and Injuries/di [Diagnosis]<br/>Wounds and Injuries/th [Therapy]
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Emergency Medicine
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article<br/>Review