Monday, April 3, 2017


emDocs - April 2, 2017 - Author: Simon E - Edited by: Koyfman A and Long B
  • Patients receiving transfusions require frequent reassessment: be mindful of transfusion reactions and their management.
  • Question females of childbearing age regarding menorrhagia.
  • Bleeding lesions of the GI tract are identified in up to 50% of patients with iron deficiency anemia.
  • A negative FOBT can not rule out the GI tract as the source of an iron deficiency anemia: a loss of 10 ml of blood QD is commonly required for a positive result."
emDocs - August 19, 2016 - Authors: Robertson J, Brem E, Koyfman A - Editor: Long B
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.
Hemolytic anemias are rare and many present with gradual onset of symptoms. However, some can cause rapid hemolysis and contribute to high morbidity and mortality. The primary goal for the EM physician is, of course, resuscitation. However, recognizing that a hemolytic process is present is also very important, as this will guide workup and occasionally, specific treatments."