Thrombocytosis in the ED
Thrombocytosis can be related to a variety of diseases, with a range of presentations. What do you need to know in the ED about this condition?
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hematology
The Thromboelastogram (TEG®): A Five-Minute Primer for the Emergency Physician
Thromboelastography is a mechanism of assessing coagulation based upon the viscoelastic properties of whole blood, and when compared to other coagulation assessments, this test allows for an assessment of near real-time, in-vivo clotting capacity. The point-of-care assay, which uses graphic interpretation of thromboelastography (the TEG), offers the opportunity for an expedited assessment of coagulopathies (thrombocytopenia, factor deficiency, heparin effect, hypofibrinogenemia, and hyperfibrinolysis). How can you use this modality in the ED? This post is full of pearls on interpreting TEG.
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Chronic Liver Disease and Hemostasis
Patients with chronic liver disease typically have elevated INRs and thromocytopenia. Thus, clinicians may believe that blood clots are not possible in this patient group. This is a brief review of hemostasis in liver disease and why blood clots can occur even with low platelet counts and elevated INRs.
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Blast Crisis: ED-focused management
Chronic myelogenous leukemia (CML) is a hematological malignancy that affects the leukocyte cell lineage. On occasion, a life threatening blast crisis can occur. CML is an important diagnosis for emergency physicians to be aware of so that they can manage complications that may occur. This is a brief review of CML and the management of several complications.
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Immune Thrombocytopenic Purpura: Pearls and Pitfalls
Immune Thrombocytopenic Purpura (ITP) is an immune-related cause of low platelet levels. It is more common in children than adults, but may occur in both populations. This is a brief review of the signs and symptoms of ITP and initial treatment options in the emergency department.
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DIC in the ED: What can you do about it?
Disseminated Intravascular Coagulation (DIC) is a serious complication of some critical illnesses. Patients are very ill and can present with a multitude of symptoms. While treatment of the underlying illness is key, there are some key interventions that can be initiated in the emergency department (ED). This is a brief review of the the underlying pathophysiology of DIC and the interventions that can be initiated in the ED.
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Hemolytic Anemias: Rare but Important Diagnosis in the Emergency Department
Hemolytic anemia is the premature destruction of RBCs, which can be classified as extrinsic or intrinsic, as well as acute or chronic. In particular, several conditions associated with these anemias can cause significant morbidity and mortality. The ED provider must focus on resuscitation, followed by recognition of the hemolytic process and initiation of appropriate therapy. This post will highlight an approach to evaluation and management of hemolytic anemias.
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Heparin Induced Thrombocytopenia (HIT): An ED-Focused Review of the Literature
When was the last time you reviewed the literature regarding Heparin-Induced Thrombocytopenia (HIT)? If it’s time for a refresher and a few tips regarding ED management, the following post is for you.
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When should you obtain coagulation tests in the emergency department?
A commonly ordered test in the ED is the coagulation panel. What does this panel entail? Is there any evidence behind it for ED use? When should it be ordered? This post provides these answers and more.
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The Sickle Cell Patient – ED Management of Acute Complications
Learn the complete ED management of acute complications in sickle cell patients
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