This is part 2 of the Heme Onc Emergencies series. This episode will talk about common hematology emergencies that we see in the ED. Sickle cell disease will be its own episode but this episode will talk about the approach to anemia in the ED, as well as the approach to hemophilias, ITP and TTP. While you will see lots of anemic patients in the ED, the other diseases are rare but we have to be on the look out for them and know what to do.
Check out the EM Basic page on EB Medicine for free access for residents and discounts for attendings. The September issue of Pediatric EM Practice discusses Hemophilia and von Willebrand disease in kids.
Factor Replacement Formula
Factor 8- (Target factor activity level – Baseline factor activity level) / (2 x pt weight in kilograms)
Factor 9- (Target factor activity level – Baseline factor activity level) / (pt weight in kilograms)