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Bloodless Management of the Anemic Patient in the Emergency Department
Annals of Emergency Medicine ( IF 6.2 ) Pub Date : 2021-08-02 , DOI: 10.1016/j.annemergmed.2021.06.015
Kelly Johnson-Arbor 1 , Richard Verstraete 2
Affiliation  

Anemia is a commonly encountered condition in emergency medicine; transfusion of packed red blood cells is commonly performed for anemic patients in the emergency department (ED), but some patients are unable to accept transfusion of blood products due to medical or religious concerns. The unique, acute, and time-sensitive nature of emergency medicine practice requires that physicians maintain an enhanced awareness of bloodless medicine treatment modalities. Identification of bloodless medicine patient preferences in the ED can help guide physicians in the recommendation of acceptable methods of treating anemia in this patient population. A focus on early hemostasis and resuscitation, instead of attempts to convince the patient to accept blood transfusion, can be lifesaving in patients with acute bleeding. Treatment strategies including the use of methods to reduce unnecessary blood loss, enhance red blood cell production, and increase the oxygen-carrying capacity of blood should also be considered early in patient presentation. Timely involvement of the Hospital Liaison Committee can help facilitate successful interpersonal communication and shared decisionmaking between emergency physicians and bloodless medicine patients. By embracing an understanding of bloodless medicine patient needs as well as available treatment strategies, ED physicians can contribute to optimal overall outcomes for anemic bloodless medicine patients.



中文翻译:

急诊科贫血患者的无血处理

贫血是急诊医学中常见的病症;急诊科 (ED) 的贫血患者通常会输注浓缩红细胞,但由于医疗或宗教问题,一些患者无法接受输血。急诊医学实践的独特、急性和时间敏感性要求医生保持对无血药物治疗方式的增强意识。确定 ED 中无血药物患者的偏好有助于指导医生推荐治疗该患者人群贫血的可接受方法。专注于早期止血和复苏,而不是试图说服患者接受输血,可以挽救急性出血患者的生命。治疗策略包括使用方法来减少不必要的失血、增强红细胞生成和增加血液的携氧能力也应在患者就诊的早期考虑。医院联络委员会的及时参与有助于促进急诊医师和不流血药物患者之间成功的人际沟通和共同决策。通过了解无血药物患者的需求以及可用的治疗策略,ED 医生可以为贫血的无血药物患者的最佳整体结果做出贡献。医院联络委员会的及时参与有助于促进急诊医师和不流血药物患者之间成功的人际沟通和共同决策。通过了解无血药物患者的需求以及可用的治疗策略,ED 医生可以为贫血的无血药物患者的最佳整体结果做出贡献。医院联络委员会的及时参与有助于促进急诊医师和不流血药物患者之间成功的人际沟通和共同决策。通过了解无血药物患者的需求以及可用的治疗策略,ED 医生可以为贫血的无血药物患者的最佳整体结果做出贡献。

更新日期:2021-08-02
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