• CME | Blood Rush: Swift Solutions for Hematologic Emergencies

  • Jun 27 2024
  • Duración: 31 m
  • Podcast

CME | Blood Rush: Swift Solutions for Hematologic Emergencies Por arte de portada

CME | Blood Rush: Swift Solutions for Hematologic Emergencies

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  • You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine. In this episode, our co-hosts explore the complexities of managing hematologic emergencies in family medicine. They cover critical conditions such as profound anemia, thrombocytopenia, and coagulopathies, offering practical diagnostic strategies and treatment approaches. Emphasizing the importance of restrictive transfusion strategies, setting appropriate hemoglobin thresholds, and understanding massive transfusion protocols, they discuss when to involve subspecialty support, particularly in cases like disseminated intravascular coagulation (DIC) and idiopathic thrombocytopenic purpura (ITP). The co-hosts share personal experiences and insights into leveraging advancements in medical technology and provide valuable tips to enhance patient care in family medicine settings. Your co-hosts for the CME on the Go series are: Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif.Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind.Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access Claiming Credit: After listening to the podcast episode, claim 0.5 AAFP credit by going to https://www.aafp.org/assessment/take/15291/e Learning Objectives Identify common hematologic emergencies encountered in primary care practice, such as thrombocytopenia, anemia, and coagulopathies.Review the clinical presentation and diagnostic approach to hematologic emergencies.Discuss initial management strategies, including transfusion therapy, pharmacologic interventions, and referral criteria for specialized care. Topics by Timestamp 00:00 Welcome to CME On The Go00:30 Meet the Hosts01:55 Introduction to Hematologic Emergencies03:13 Common Hematologic Emergencies06:00 Transfusion Strategies and Protocols11:55 Thrombocytopenia and ITP17:51 DIC and Other Coagulopathies21:46 Outpatient Considerations23:13 Heavy Menstrual Bleeding and Potential Coagulopathy28:39 Conclusion and Gratitude References/ Resources Diagnosis of abnormal uterine bleeding in reproductive-aged women: Practice Bulletin No. 128. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012;120:197–206. UpToDate Article on RBC Transfusion Thresholds: UpToDate. (n.d.). Indications and hemoglobin thresholds for RBC transfusion in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/indications-and-hemoglobin-thresholds-for-rbc-transfusion-in-adults JAMA Article on Restrictive Threshold: JAMA Network. (n.d.). Restrictive threshold. Retrieved June 24, 2024, from https://jamanetwork.com/journals/jama/fullarticle/2810754#:~:text=Restrictive%20threshold%20 UpToDate Article on Massive Blood Transfusion: UpToDate. (n.d.). Massive blood transfusion. Retrieved June 24, 2024, from https://www.uptodate.com/contents/massive-blood-transfusion AAFP Article on Postpartum Hemorrhage: American Academy of Family Physicians. (2020, July 1). Postpartum hemorrhage. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2020/0701/p30.html AAFP Practice Guidelines on Postpartum Hemorrhage: American Academy of Family Physicians. (2023, April). Practice guidelines: Postpartum hemorrhage. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2023/0400/practice-guidelines-postpartum-hemorrhage.html AAFP Article on Thrombocytopenia: American Academy of Family Physicians. (2022, September). Thrombocytopenia. Retrieved June 24, 2024, from https://www.aafp.org/pubs/afp/issues/2022/0900/thrombocytopenia.html UpToDate Article on Diagnostic Approach to Thrombocytopenia: UpToDate. (n.d.). Diagnostic approach to thrombocytopenia in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/diagnostic-approach-to-thrombocytopenia-in-adults UpToDate Article on DIC in Adults: UpToDate. (n.d.). Evaluation and management of disseminated intravascular coagulation (DIC) in adults. Retrieved June 24, 2024, from https://www.uptodate.com/contents/evaluation-and-management-of-disseminated-intravascular-coagulation-dic-in-adults UpToDate Article on Platelet Function Testing: UpToDate. (n.d.). Platelet function testing. Retrieved June 24, 2024, from https://www.uptodate.com/contents/platelet-function-testing Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their ...
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