Consenting for Blood Transfusion
December 2, 2020We frequently consent for Blood Transfusion, but what risks do we tell the patients about and how common are those risks? Read more
COVID-19 Vaccine Induced Thrombosis/Thrombocytopenia (VITT)
April 9, 2021Inclusion Criteria [Both of]: Received AstraZeneca (AZ) COVID 19 vaccination within 28 days (typically 4-28 days from immunisation) New Onset thrombocytopenia (PLTs <150×109/L) – with… Read more
Dabigatran Reversal
September 16, 2019Bleeding on Dabigatran? <C>ABCD – as usual trying to stop bleedBloods: FBC, Clotting, U&E, G&SDiscuss with Haematologist (esp. if taken within 12-24hr)Idarucizumab (PRAXBIND) 5g IVFound… Read more
Deep Vein Thrombosis (DVT)
December 22, 2017It is worth remembering that HRI and CRH have different processes for the management of DVT see Management section. Signs and Symps No single feature… Read more
DVLA – Driving & Medical Conditions
May 8, 2018For many conditions the patient should be informed to stop driving and inform the DVLA of their condition. It is the patients responsibility to inform the… Read more
High INR
March 17, 2018Patients sometimes present to ED or are send to ED due to over anticoagulation with warfarin 1. Is there Major/Significant bleeding? Yes Resuscitate (ABCD) Give… Read more
Massive Transfusion Pathway
February 6, 2018In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MTP Remember: Do the Basics… Read more
Metastatic Spinal Cord Compression (MSCC)
October 3, 2018This is guide to the investigation of Metastatic Spinal Cord Compression (MSCC) in Oncology/Haematology patients. You need to be a bit more suspicious and have a… Read more
Methaemoglobinaemia
February 19, 2021Q: Why are Smurf’s Blue? A: Methaemoglobin (MetHb) of course! – MetHb is produced by oxidisation of the Iron in Haemoglobin (Hb) from Fe2+ to Fe3+… Read more
Octaplex – work fast its an EMERGENCY!
December 16, 2017Activate EARLY in head injury patients on warfarin. Order on EPR & Paper [see below] Infuse over no more than 30 min Recheck INR at 30… Read more
Pre-Arrival Blood (O-ve)
March 13, 2019On rare occasions you may receive a pre-alert, where you want blood available for the patient when they arrive (for example in major haemorrhage). This… Read more
Primary Intracerebral Haemorrhage
December 1, 2020In anybody who there is suspicion of a non-traumatic haemorrhage arrange an urgent CT Head. All patients need IV access and U&E, FBC, Coag If… Read more
Sickle Cell Crisis
June 7, 2019Painful Crisis Severe pain is the most common reason that patients with sickle cell, will attend the ED. The pain can be agonising (and often… Read more
Transfusion Care Pathway
July 13, 2018PDF: Transfusion Care Pathway When giving blood products you need to use the transfusion care pathway. Octaplex Blood/Plt’s/FFP It can be found on intranet >… Read more
Trust Dalteparin dosing
July 12, 2020Trust Guidance varies slightly from BNF for those patients over 100kg Non-Pregnant PE/DVT treatment CrCl Calculator – HERE CrCl <20ml/min contact haematologist Pregnant PE/DVT treatment… Read more
VTE prophylaxis in Lower Limb Injury
December 16, 2017Consider in ALL over 16’s with lower limb immobilisation. Bloods not required for everyone. Prescribe for 2 weeks (to cover any delay to # clinic)… Read more
