hematology

This month’s Medical Malpractice Insights from Dr. Pilcher brings you a tough case of a fall and undiagnosed hemorrhage in a patient on warfarin.

Fast forward to today and we are finding all kinds of uses for TXA other than trauma including post-partum hemorrhage, epistaxis, hemoptysis, gastrointestinal hemorrhage, and many more.

A 36-year-old male with a history of HIV presents to the ED complaining of dyspnea on exertion and fatigue. He is not compliant with his anti-retroviral medications. His conjunctivae are pale. There is a painful ulcer to the distal aspect of the tongue and scattered petechiae on his legs. Laboratory evaluation reveals WBC 2,000/microL, Hgb 8.5 g/dL, and platelets 90,000/microL. What do the exam and lab findings suggest?

Is whole blood ready for routine use in trauma? What is the evidence behind it? This post evaluates whole blood and provides a glimpse into a currently-used protocol.

Hematology and Oncology can be difficult topics for the boards/inservice exams. This Survival Guide provides you with several great resources to keep you updated.

A 72-year-old male presents with fatigue for months. He sometimes has prolonged bleeding when he brushes his teeth. He denies weight loss, night sweats, or any other symptoms apart from his fatigue. He has no significant past medical or surgical history, and his VS are normal. Exam is unremarkable except for one hemorrhagic bullae on his oral mucosa. He has no lymphadenopathy or hepatosplenomegaly. What are the next steps in management?

How should you evaluate and manage the patient with possible rectus sheath hematoma? This post from Dr. Baker and Dr. Yang provides you with pearls and pitfalls for this condition.

Do you know what to do with the bleeding patient with hemophilia? This post provides key information on management of the hemophiliac.

emDOCs would like to introduce a new series in association with creator and founder of EM in 5, Dr. Anna Pickens! We will be hosting videos from Dr. Pickens with links to further reading to provide focused visual and audio learning for those with a short time to obtain what you need for your next shift. Today EM in 5 covers NOACs.

Welcome back to the EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed. This week we have a case where you should assume bleeding until proven otherwise.