Your experience with massive blood transfusion !
Happy Holidays SDN Anesthesiologists,
Christmas on doorstep and the new year just about to crossing the front street, and then "knock knock 2022".
I would like to ask you about massive blood transfusion - with such puzzle, yet I know a bit to answering the puzzle, but I had created this puzzle to get the full picture.
Here we go :
Case presentation :
Patient with Unknown ABO is undergoing Emergent surgery requires massive blood transfusion.
- if O - ve available, how many units can give...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 23, 2021 Category: Universities & Medical Training Authors: DrAmir0078 Tags: Anesthesiology Source Type: forums
Can you please read my BMAT Essay?
In conclusion I do not fully agree with this statement as it can be said one who is a doctor preferably would be a well rounded individual and it can be seen as in the medical world one needs both academic ability as well as patient experience.
Post to the BMAT thread, that's where all the BMAT test takers are hanging out: https://www.thestudentroom.co.uk/sho....php?t=6864748 (Source: The Student Room)
Source: The Student Room - October 28, 2021 Category: Universities & Medical Training Authors: ecolier Tags: Medicine Source Type: forums
Leave of Absence- Emergency Surgery, Sepsis, and Shock
Just three short months ago, I had a colorectal surgeon incorrectly perform a surgery that caused me to lose half my blood volume, sending me into hypovolemic shock and sepsis. I received 4 units of blood transfusions and had a minor heart attack due to my HR being 180 BPM. I was sick, anemic, and had to have caregivers take care of me for two months and my hemoglobin just stabilized. Now that this happened, my school education is extended a year and I have to repeat withdrawn coursework...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 4, 2021 Category: Universities & Medical Training Authors: halfordwarlick Tags: Medical Students - MD Source Type: forums
Rhesus Disease
Good morning / day / evening,
I realise this is a very specific question, and thus I'm not surprised to have not read about it in my Ob & Gyn book.
If a woman were to receive a blood transfusion which contained Rh +ve blood, but she is Rh -ve, would she require earlier shots of Anti-D if she becomes pregnant in the future?
Thank you! (Source: Student Doctor Network)
Source: Student Doctor Network - January 19, 2021 Category: Universities & Medical Training Authors: Kristian Cauchi Inglott Tags: Ob/Gyn Source Type: forums
Medical ethics qs
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Medical ethics qs
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Source: The Student Room - July 13, 2019 Category: Universities & Medical Training Authors: ashleydixon Tags: Medicine Source Type: forums
Why would hospitalist think this is a good idea.. sickle cell pt
20 something year old HbSS, being hospitalized with acute sickle cell vaso-occlusive crisis,
Hgb sitting around 7. No exchange transfusion or blood transfusion. On hydroxyurea.
Poor pain control for several days. Still 10/10 pain, hypertensive, tachycardic, on NC.
Recent URI, has bacteremia being treated on IV antibiotics. Their plan was for several weeks of IV abx.
But hospitalist also want to do a TEE to rule out endocarditis.
- antibiotic plan would not change regardless of outcome of...
Why would hospitalist think this is a good idea.. sickle cell pt (Source: Student Doctor Network)
Source: Student Doctor Network - July 3, 2019 Category: Universities & Medical Training Authors: eikenhein Tags: Anesthesiology Source Type: forums
Blood Transfusion during Spine Surgery
One of our Spine surgeons has requested that I keep the hematocrit above 35% throughout the case. His reasoning is that Optic Ischemic Retinopathy can occur. This surgeons is slow in operating most of the time. He does not make incision in a timely manner. For instance, after induction it sometimes take him two hours to make incision. He takes almost six hours for one level spinal fusion. I am curious if at other hospitals if the blood transfusion committee would not stand for this? (Source: Student Doctor Network)
Source: Student Doctor Network - June 25, 2019 Category: Universities & Medical Training Authors: Doughy315 Tags: Anesthesiology Source Type: forums
Emergent blood transfusion
Assume you have a G5P4 with a previously undiagnosed placenta percreta. She has not had routine prenatal care. She presents urgently to L&D in labor and the OB/GYN calls for a stat C-section. You send a type/screen/cross and proceed to the OR. Intraoperatively, she begins to bleed and sag. You call for blood and the blood bank tells you the patient is A+ but they have detected antibodies on screen. The donor samples they have crossed so far have all been positive and the risk of an...
Emergent blood transfusion (Source: Student Doctor Network)
Source: Student Doctor Network - May 5, 2019 Category: Universities & Medical Training Authors: AnesThrowaway Tags: Anesthesiology Source Type: forums
attenuated vaccine repetition
I've read that after a live/attenuated vaccine, when patient receives a blood transfusion or just immunoglobulins for some reason, vaccine must be repeated after few months, why is that? (Source: Student Doctor Network)
Source: Student Doctor Network - September 10, 2017 Category: Universities & Medical Training Authors: _expecto__ Source Type: forums
Ethical Question on Parental Consent
Hello,
I was thinking about 2 different situations revolving around parental consent and how physicians are expected to respond. Assume child is under 10 and does not have decision making capacity.
1) Child diagnosed with acute lymphoma. Determined that if child does not get blood transfusion, child will die. Parents are Jehovah witnesses and refuse treatment -->
Normally, physician is expected to respect their religious beliefs bc forcing transfusion constitutes assault.
2) Child...
Ethical Question on Parental Consent (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2017 Category: Universities & Medical Training Authors: imxpandanese Source Type: forums
What do you do if a patient refuses life saving care?
What if someone is in a terrible accident and they refuse life saving care?
And what if the patient is unconscious but is a Jehovah's Witness according to their wallet or something? Do you assume they would not want a blood transfusion if they were awake enough to consent? (Source: Student Doctor Network)
Source: Student Doctor Network - July 8, 2017 Category: Universities & Medical Training Authors: kitkat13 Source Type: forums
CASE #1 - HIV Transfusion to hospitalized patient
A hospitalized patient with Pseudomonas aeruginosa (a gram-negative and extracellular bacteria), gets contaminated by the HIV virus during a blood transfusion process. What would be the consequences for this patient? (Source: Student Doctor Network)
Source: Student Doctor Network - July 5, 2017 Category: Universities & Medical Training Authors: Challenge-MED Source Type: forums
Discharge home after ED Blood Transfusion
This has recently come up in my group--who can you safely send home after transfusing in the ED?
Anybody willing to share what you do in your shop or have a magical set of guidelines they'd be willing to share?
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - September 18, 2016 Category: Universities & Medical Training Authors: blackadder Source Type: forums
Scenario type of interview question- looking to discuss
In preparing for interviews, I feel less confident about the scenario type of questions. Any advice on how to approach something like the sample question below? I have ideas on how to answer, I guess I just get nervous that I might say something totally wrong (in terms of professional medical decision making).
A patient who has been in an accident needs a blood transfusion. She states that her religion does not allow them. You are the physician in charge. What will you do? Will you override...
Scenario type of interview question- looking to discuss (Source: Student Doctor Network)
Source: Student Doctor Network - September 6, 2016 Category: Universities & Medical Training Authors: DatInterviewDood Source Type: forums
Ethical situation with Jehovah's witnesses
UW question 783 got me thinking about other situations where I'm not sure about what to do. So, we have a mother and child in a car accident and they are both incapacitated and require life sustaining blood transfusions. The husband says that they are Jehovah's witnesses and then hangs up, not giving any further information. Neither of these patients have JW cards, so, in this emergency situation, we would transfuse them both.
BUT...
What if the husband got to the ED in time, and as the...
Ethical situation with Jehovah's witnesses (Source: Student Doctor Network)
Source: Student Doctor Network - June 3, 2016 Category: Universities & Medical Training Authors: TheShaker Source Type: forums
