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Should Emergency Departments Do Fewer Red Cell Transfusions, More IV Iron?

By Anton Helman, MD, CCFP(EM), CAC, FCFP | on July 15, 2016 | 1 Comment
CME CME Now EM Cases
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PDF Summary: Episode 65–IV Iron for Anemia in Emergency Medicine

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Explore This Issue
ACEP Now: Vol 35 – No 07 – July 2016

A special thanks to Dr. Watler Himmel, Dr. Jeannie Callum, and Dr. Katerina Pavenski for their participation in the EM Cases podcast from which this article is based.


Dr. Helman

Dr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website.

Resources for Further Review

  1. Mozaffarian D, Benjamin EJ, Go AS, et al. Heart Disease and Stroke Statistics—2015 Update. Circulation website.
  2. Highlights of the 2015 American Heart Association Guidelines Update for CPR and ECC. American Heart Association website. Accessed June 12, 2016.
  3. The ‘Top Five Changes’ Project: 2015 AHA guidelines on CPR + ECC update infographic series. CanadiEM website. Accessed 6/12/2016.
  4. Milne K. SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA. The Skeptics’ Guide to EM website. Accessed June 12, 2016.

Pages: 1 2 3 | Single Page

Topics: Critical CareEmergency DepartmentEmergency MedicineEmergency PhysicianPatient CarePractice ManagementTransfusion

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One Response to “Should Emergency Departments Do Fewer Red Cell Transfusions, More IV Iron?”

  1. August 4, 2016

    Jeremy Reply

    Dr. Helman,

    Thanks for this great review as well as for raising awareness of our common practice of unnecessary PRBC transfusions. One question which I had while reading your article as well as the pdf summary on your website. Why give IV iron to a stable anemic patient who can be discharged instead of PO? I’m assuming there is a significant difference in the rate of rise of the Hb, but I’m wondering how different it is. Any insight appreciated.

    Thanks,

    Jeremy

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