SCCM Resource Library-A Review of Normal and Abnormal Hemostasis

Video Transcription

Video Summary

The presenter is a specialist with dual training in hematology and critical care, enthusiastic about managing bleeding in the ICU and cancer-related critical care. The talk outlines advancements in the understanding and management of blood coagulation and transfusions, tracing history from early experiments to modern practices. Key points include the complexity of coagulation beyond textbook models, and the importance of understanding laboratory tests like PT, PTT, and thrombin time, while emphasizing that these tests have limitations. The speaker critiques the use of INR for assessing coagulation, discusses the technical aspects of measuring prothrombin time, and cautions against excessive transfusion, especially in euvolemic patients. Functional tests like Teg and Rotem, as well as bleeding time, are touched upon, with the former being seen as more of a supportive tool, and the latter described as outdated. The presentation stresses caution in transfusing blood and encourages conservative, evidence-based transfusion practices.

Asset Caption

One-Hour Concurrent Session | All Bleeding Stops Eventually: A Review of Normal and Abnormal Coagulation

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

hematology

critical care

blood coagulation

transfusion practices

laboratory tests

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.