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Ringing the TACO Bell

TACO Hats off and ring the bell for Dr. Alam et al. for their upcoming article “The prevention of transfusion-associated circulatory overload” in Transfusion Medicine Reviews, anticipated in print April, 2013!  This review is outstanding as it guides us through…


The Importance of Physician Opinion Leaders in Blood Management Programs

The Importance of Physician Opinion Leaders March is a great time to talk about physician opinion leaders because March 30th is National Doctors Day. Physicians are clearly a key stakeholder group for appropriate blood use, so their engagement and ownership…


Is it Time for Goal-Directed Management of Gastrointestinal Bleeding?

Goal-Directed Management of Gastrointestinal Bleeding Gastrointestinal bleeding accounts for more than 450,000 hospitalizations annually in the United States and is a major consumer of blood products.1 Blood transfusions are given to 21- 43% of these patients, and acute upper gastrointestinal…


The Storage Lesion: The Saga Continues

The Storage Lesion Early this year I discussed the potential implications of the “storage lesion” for RBC transfusions in a previous blog post, The Storage Lesion, Soldier On and Stay Tuned. Several studies were cited and questions put forth that…


The 8 Rights of Transfusion Administration

The 8 Rights of Transfusion Administration Nurses have known and upheld the five rights of medication administration for decades. The Transfusion Medicine community quickly and readily adapted these rights to another high volume, high risk hospital procedure: transfusion administration. Recently,…


Some Principles of Pediatric Blood Management

We have all heard the phrase “it’s the principle of the thing.” This phrase reminds us that in everything we do, including the clinical management of patients, there are both precedents and principles to guide our decision making processes. The…


Risky Business? The Relative Infectious Risks of Blood Transfusion

Every medical intervention has an inherent risk.  Blood transfusion is no exception. Physicians must know the risks versus benefits of therapeutic modalities for each specific patient treated. Unfortunately, disproportionate emphasis is sometimes placed on the risks and potential infectious complications…


A Precarious Position

In July, we will be highlighting information on antiplatelet and anticoagulant medications, both old and new.  The webinar and the Ask-the-Expert segment, will focus not only on the pharmacological mechanisms of these drugs, but the controversies surrounding their benefits, risks and…


Wrong Patient, Wrong Unit: Preventing Transfusion Errors

Previous newsletter articles have discussed the importance of appropriate transfusion decisions as a critical element of transfusion safety, as well as the role of bedside nursing as vigilant advocates during the transfusion administration process. This month’s article focuses on the…


Cheap and Effective: The Tranexamic Acid Story

On March 20th the New York Times1 (NYT) reported on a study in BMC Emergency Medicine (http://www.biomedcentral.com/1471-227X/12/3/abstract) that use of tranexamic acid (TXA) in trauma patients could save up to 128,000 lives annually worldwide, 4,000 of them in the United…