Patients involved in major trauma frequently suffer from severe blood loss and anemia, which can be challenging to treat. Additional issues are presented in the population of Jehovah’s Witness patients, who refuse transfusions of allogenic blood or its components. We established a stable hemodynamic status in a young Jehovah’s Witness patient with major trauma by applying principles of patient blood management.About the Patient Blood Management Case Report Series

This book gives a brief overview of the "Patient Blood Management" (PBM) concept and is addressed to health professionals as well as all persons generally involved into hospital management."Patient Blood Management" (PBM) is a multidisciplinary, evidence-based approach to improve perioperative care. The concept is based on three pillars that target modifiable risk factors for adverse outcome: i) preoperative screening, diagnosis an...

Medical errors kill 24,000 Canadians each year, adversely affect hundreds of thousands, and cost close to two billion dollars. Victims of medical errors and their families who speak out often do so at considerable emotional, psychological, and financial expense. But their willingness to share their harrowing stories has helped to lay the foundation for numerous patient safety programs and continues to identify problems, provide solutions, and raise awareness.After the Error

A doctor asked on Twitter, "What's one thing you wished you knew when you had to look after one of your own family members?"I needed over 1000 words to respond, although my 140 character-answer is this: I wish I'd known better how to just sit still, or at least act normally, with my father after his diagnosis with brain cancer.Luckily, my infant son Max was a lot wiser than I was. And I knew enough to bring Max and my dad together as much as possible. This is their story, a...

At the clinical, management, and policy levels, the use of knowledge and evidence in health care has become a worldwide priority. The contributors to Using Knowledge and Evidence in Health Care seek to broaden our understanding of the complexity involved in health care decision-making by integrating social science knowledge and exploring some of the challenges and limits of evidence in different health care contexts.Louise Lemieux-Charles and François Champagne have brough...

“We’re born in blood. Our family histories are contained in it, our bodies nourished by it daily. Five quarts run through each of us, along some sixty thousand miles of arteries, veins, and capillaries.”–fromFive QuartsIn the national bestseller Sleep Demons, Bill Hayes took us on a trailblazing trip through the night country of insomnia. Now he is our guide on a whirlwind journey through history, literature, mythology, and science by means of the great red river that runs f...

Written by the leading names in pediatric oncology and hematology, Nathan and Oski's Hematology and Oncology of Infancy and Childhood offers you the essential tools you need to overcome the unique challenges and complexities of childhood cancers and hematologic disorders. Meticulously updated, this exciting full-color set brings together the pathophysiology of disease with detailed clinical guidance to provide you with the most comprehensive, authoritative, up-to-date information for diagn...

This case report describes the poor outcome of a female patient who underwent elective nephrectomy. Unfortunately, the patient was suffering from undiagnosed preoperative platelet dysfunction and anemia, although blood count and clotting were almost within normal ranges two weeks earlier at the day of preoperative assessment for anesthesia. In this respect, intensive preoperative evaluation of the coagulation system embedded in a comprehensive patient blood management (PBM) concept might h...

This online Clinics series provides evidence-based answers to clinical questions the practicing hospitalist faces daily. This issue, edited by Dr. Allen Repp, includes the following articles: Pericarditis; Bedside ultrasound evaluation of shock; Cardiac implantable device infections; Hypernatremia; Ischemic colitis; Guillain-Barre syndrome; Interpretation of thyroid function tests in the hospitalized patient; Terminal extubation; Parotitis; Preventing catheter-associated urinary tract infe...

"Engaging . . . provides patients tools they can use to improve dialogue with their doctors and, ultimately, improve their ultimate medical outcomes."—The Times of IsraelThe health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison with those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem th...

The Ob/Gyn Hospitalist, the newest subspecialist in the field of obstetrics and gynecology, has the potential to improve patient safety, patient and provider satisfaction, workforce challenges and clinical outcomes. Programs are exploding across the country, mirroring the growth of the internal medicine hospitalist programs 10 years ago. Ob/Gyn hospitalist jobs are the most sought after in the field. We will present the history of the Ob/Gyn Hospitalist movement, available evidence to date...

This issue on Diagnostic Testing for Enteric Patholgens is led by two experts in the field of clinical pathology: Alexander J. McAdam and Collette Fitzgerald. Topics include Salmonella, Shigella and Yersinia; Escherichia coli; Campylobacter; Clostridium difficile; Use of markers of intestinal inflammation for diagnosis of infectious gastroenteritis; Antibiotic susceptibility testing of bacteria that cause gastroenteritis; Norovirus; Rotavirus; Intestinal Abebae; Intestinal coccidia and cry...