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  • Better Blood Use Blog
    • Welcome to the Better Blood Use Forum for Case Discussion!
    • Announcement from Better Blood Use
    • First Case: This is an 84 female patient admitted through the emergency room with generalized weakness, fever, chills, likely urinary tract infection and likely metastatic lung masses.
      • Elderly female with known metastatic CA of ? Gyn origine, bladder catherer dependent, presents with weakness, fell down, and mild anemia and presumed dehydration. I am not finding the vital…
      • First Case: Does this patient need a transfusion?
      • First Case July 29, 2013 Final Case Critique
      • First Case July 29, 2013: Subsequent Case Management
    • Announcement from Better Blood Use: Case 2 and Case 3
    • Announcement from Better Blood Use: Second Case Posting
    • Case Two (August 4, 2013): Initial Presentation
      • Second Case: How many of the six platelet transfusions given to this patient were medically necessary?
      • Second Case August 4, 2013 Case Management Commentary
      • Second Case August 4, 2013 – Subsequent Case Management
      • Should this patient in the second case receive platelet transfusion?
      • Second Case: Assessment and Conclusion
    • The Joint Commission has posted proposed requirements for a “New Patient Blood Management Certification Program”
    • The patient has to go for pericardiocentesis. How should the patient’s INR be managed?
    • Third Case August 11, 2013: Patient Presentation
      • Third Case (August 11, 2013): Case Management Commentary
      • Third Case August 11, 2013: Subsequent Patient Management
      • Case 3: Based upon the information provided in Patient Presentation, does this patient need a transfusion?
      • Was transfusion appropriate in this circumstance?
    • Transfusion Strategies for Acute Upper Gastrointestinal Bleeding N Engl J Med January 3, 2013 368:11-21 Vilanueva, et. al.
    • Two Leading Health Care Quality Organizations Recommend Strategies to Minimize Overuse of Five Treatments, Including Appropriate Blood Management
    • Case 4 (August 18, 2013): Patient Presentation
      • Case 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 1
      • Case 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 2
      • Case 4 (August 18, 2013): Case Management Commentary Objective Data
      • Case 4 (August 18, 2013): Subsequent Patient Management
      • Did the case 4 presentation provided you with new information and interesting discussion?
    • Case 5 (8/25/2013): Patient Presentation
      • Case 5 (8/25/2013): Case Management Commentary
      • Case 5 (8/25/2013): Subsequent Patient Management
    • Announcement from Better Blood Use: Case 6 is posted
    • Announcement from Better Blood Use: Case 6 and 7
    • Case 6 (9/01/2013): Patient Presentation
      • Case 6 (9/01/2013): Case Management Commentary
      • Case 6 (9/01/2013): Subsequent Patient Management
    • Case 7 (9/08/2013): Patient Presentation
      • Case 7 (9/08/2013): Management Commentary
      • Case 7 (9/08/2013): Subsequent Patient Management
    • Case 8 (9/22/2013): Patient Presentation
      • Case 8 (9/22/2013): Case Management Commentary
      • Case 8 (9/22/2013): Subsequent Patient Management
    • Case 9 (9/29/13): Patient Presentation
      • Case 9 (9/29/2013): Case Management Commentary
      • Case 9 (9/29/2013): Subsequent Patient Management
    • Case 10 (October 22, 2013): Patient Presentation

Author: Columbia Healthcare Analytics

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Did the case 4 presentation provided you with new information and interesting discussion?

August 24, 2013Columbia Healthcare Analytics

 No  Yes, somewhat  Yes…Continue readingDid the case 4 presentation provided you with new information and interesting discussion?

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Case 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 2

August 23, 2013Columbia Healthcare Analytics

Conclusion: This patient received 8 units plasma and 4 units PRBC. If the patient had been a Jehovah Witness member, he would not have received any blood components and likely…Continue readingCase 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 2…Continue readingCase 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 2

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Case 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 1

August 22, 2013Columbia Healthcare Analytics

Assessment The patient presented with acute distress of three days duration and pericardial effusion. The medical history is significant for multiple myeloma. Initial laboratory studies were delayed and performed 5:30…Continue readingCase 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 1…Continue readingCase 4 (August 18, 2013): Case Management Commentary – Assessment & Conclusion Part 1

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Case 4 (August 18, 2013): Case Management Commentary Objective Data

August 22, 2013Columbia Healthcare Analytics

Click this link to download the case file from box.net:https://app.box.com/s/xmn93a363azzht5n0aut You must download the file after opening the link in box.net, or you will not be able to easily see…Continue readingCase 4 (August 18, 2013): Case Management Commentary Objective Data…Continue readingCase 4 (August 18, 2013): Case Management Commentary Objective Data

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Announcement from Better Blood Use

August 21, 2013April 11, 2022Columbia Healthcare Analytics

The subsequent case management for Case 4 has been posted. Case 4 is an 84 year-old male on Coumadin who presents with a large pericardial effusion and 5.7 INR measured…Continue readingAnnouncement from Better Blood Use…Continue readingAnnouncement from Better Blood Use

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Case 4 (August 18, 2013): Subsequent Patient Management

August 20, 2013Columbia Healthcare Analytics

Click this link to download the case file from box.net:https://app.box.com/s/0d08n2182qsz87oswwjx Case 4 is an 84 year-old male on Coumadin who presents with a large pericardial effusion and 5.7 INR measured…Continue readingCase 4 (August 18, 2013): Subsequent Patient Management…Continue readingCase 4 (August 18, 2013): Subsequent Patient Management

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The patient has to go for pericardiocentesis. How should the patient’s INR be managed?

August 19, 2013Columbia Healthcare Analytics

 Give vitamin k  Give two units plasma  Give more than two units plasma  Give prothrombin complex concentrate  Go right to pericardiocentesis…Continue readingThe patient has to go for pericardiocentesis. How should the patient’s INR be managed?

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Case 4 (August 18, 2013): Patient Presentation

August 18, 2013Columbia Healthcare Analytics

Click this link to download the case file from box.net:https://app.box.com/s/lkwrzn0mk2z7zvi0us5w You must download the file after opening the link in box.net, or you will not be able to easily see…Continue readingCase 4 (August 18, 2013): Patient Presentation…Continue readingCase 4 (August 18, 2013): Patient Presentation

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Third Case (August 11, 2013): Case Management Commentary

August 15, 2013Columbia Healthcare Analytics

Click this link to download the case file from box.net:https://app.box.com/s/otjzox1c458kst1f1kju If you do not download the file after opening the link in box.net, then you will not easily see all…Continue readingThird Case (August 11, 2013): Case Management Commentary…Continue readingThird Case (August 11, 2013): Case Management Commentary

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Third Case August 11, 2013: Subsequent Patient Management

August 14, 2013Columbia Healthcare Analytics

Click this link to download the case file from box.net:https://app.box.com/s/1rb9se1qh5htb7cznxcv If you do not download the file after opening the link in box.net, then you will not be able to…Continue readingThird Case August 11, 2013: Subsequent Patient Management…Continue readingThird Case August 11, 2013: Subsequent Patient Management

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