Acquired Bleeding Disorders

Key considerations

The lecture duration is 21min.

0.5 CPD Points, 0.5 CEUs, 0.5 CME credits approval pending.
Accredited by CPDUK, CBRN and Provider Pending.

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Thomas DeLoughery
Healthcare Professional at Divisions of Hematology/Oncology and Laboratory Medicine, Oregon Health & Science University, Portland, Oregon, USA
Lecture Summary

This talk reviews several bleeding emergencies. Three causes of thrombocytopenia – immune thrombocytopenia (ITP), thrombotic thrombocytopenia purpura (TTP) and disseminated intravascular coagulation (DIC) – are reviewed. ITP presents with severe thrombocytopenia and is treated with steroids/IVIG. The presentation of TTP varies from mild thrombocytopenia to severe mental status changes and is treated with plasmaexchange. DIC is always due to an underlying illness and treatment is focused on factor replacement plus treatment of the primary cause. Finally treatment of bleeding due to antithrombotic therapy is reviewed.

Target Audience

Emergency Medicine Doctors
Emergency Medicine Nurses
Paramedics
Rural GP's

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Learn to differential three causes of thrombocytopenia - immune thrombocytopenia, thrombotic thrombocytopenia purpura and disseminated intravascular coagulation
  • Learn how to correct coagulation defects in disseminated intravascular coagulation
  • Understand the approach to treatment of bleeding in patients on antithrombotic therapy