There are several relatively new adjuvant treatments for patients with massive hemorrhage. Of these, TXA is most widely recommended. It is inexpensive and has been shown to reduce mortality when given within three hours of injury.
A new test, viscoelastic hemostatic assay, identifies the patient's stage of coagulability and fibrinogen status. The result of the test is a curve, which can help determine the need for fibrinogen, clotting factors, and platelets.
Massive transfusion is an independent predictor of increased mortality, increased infection rate, SIRS, andmulti-organ failure.
Complications of massive transfusion include acid/base derangement, electrolyte abnormalities (particularly hyperkalemia with rapid infusion), immune system changes, acute lung injury, and fluid overload.
Kawasaki disease, first described by Dr. Tomisaku Kawasaki in 1967, is a self-limited systemic inflammatory vasculitis characterized by fever and a variety of mucocutaneous manifestations. Surpassing rheumatic heart disease, it is now the leading cause of acquired cardiac disease in children.
2014 Certification Update
Patient access leaders at Lake Forest (IL) Hospital increased collections by 79% and have set a goal to increase collections by another 10% in 2014.
Duke Raleigh Hospital participates in a community-wide collaborative of hospitals and post-acute providers but also has developed close relationships with individual skilled nursing facilities.
As attention focuses on preventing readmissions, hospitals must improve their internal processes and forge relationships with post-acute providers.
Here's another reason to emphasize influenza vaccination in long-term care: Last year, vaccination prevented an estimated 44,000 flu-related hospitalizations among older people, according to the Centers for Disease Control and Prevention.
"Safety culture" has been an important buzzword in occupational health for many years.