NoBlood - www.noblood.org July 10, 2012

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We hope you are enjoying NoBlood Answers, our new Q&A feature. Many very important and informative questions are being answered. Please take the time to read and rate one or two. As a leading site for bloodless medicine and blood transfusion alternatives, we are working hard to provide our visitors with the most up-to-date content and best answers from leading bloodless medical professionals.

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Featured Questions

* Questions and answers may have been edited for space.

QUESTION: What is a blood patch?—asked by LarryEitel
ANSWER: An epidural blood patch is a surgical procedure that provides immediate relief to the headache caused by leaking spinal fluid.... READ MORE answered by Jan B. Wade
ANSWER: The epidural blood patch is a treatment technique used to treat headache caused by lumbar puncture (spinal tap). When one has a spinal puncture, epidural fluid in the spinal canal can leak out the hole that was created in the Dura mater (tough fibrous membrance covering the brain, spinal cord and lining the inner surface of the skull). With less fluid in the spinal column the brain tends to sink down, thus causing a headache. The blood patch is used to seal the hole. How it works:... READ MORE answered by Paul Loubser, MD

QUESTION: Are there any vaccines that have blood fractions?—asked by anonymous
ANSWER: Here is a list of where some vaccines come from. This list is followed by a list of vaccines that come from blood fractions.... READ MORE answered by Jan B. Wade

QUESTION: What is the role of Tranexamic acid in the treatment of heavy menstrual bleeding (Menorrhagia)?—asked by Hatice Simsek MD
ANSWER: In this study, a new oral tranexamic acid treatment was well tolerated and significantly improved both menstrual blood loss and health-related quality of life in women with heavy menstrual bleeding.... READ MORE answered by Informaticus
ANSWER: Transexamica acid is a synthetic derivative of the amino acid lysine. It's used to treat or prevent excessive blood loss in surgeries. It is an antifibrinolytic that competitively inhibits the activation of plasminogen to plasmin, by binding to specific sites of both plasminogen and plasmin, a molecule responsible for the degradation of fibrin. Fibrin is a protein that forms the framework of blood clots. Mentrual bleeding stops when tiny clots seal blood vessels in the lining of the uterus...... READ MORE answered by Leslie Richards RN

The Evolution of Blood Management

In the article "From Bloodless Surgery to Patient Blood Management" by Aryeh Shander, MD, Mazyar Javidroozi, MD, PhD, Seth Perelman, MD, Thomas Puzio, MD, and Gregg Lobel, MD. MOUNT SINAI JOURNAL OF MEDICINE 79:56-65, 2012, we learn how blood management has evolved through the years and is becoming the standard of care worldwide.

Awareness related to the safety, effectiveness, and cost of blood is growing nationwide. Many facilities are actively looking for ways to address and treat their patients' health status before it turns into an unnecessary transfusion. Hospitals are building Blood Management Programs that embrace patient blood management (PBM) to ensure better care for everyone, regardless of their acceptance of blood products.

Simply put, blood management started out as a way of treating patients refusing blood, but it became evident that avoiding unnecessary transfusions was beneficial for everyone. READ MORE

Contributed by Niurka D'Amour, RN, BSN, CEN, Coordinator, Blood Management Program, St Joseph Medical Center, Bellingham, Washington.

Introducing: Strategic Healthcare Group, LLC

Dr. Tim Hannon, M.D.The Editorial Staff at NoBlood.org are gratified when we can highlight thought and action leaders from the field of Blood Management. We recently asked Dr. Tim Hannon, M.D.MBA and Founder and President of Strategic Healthcare Group to tell us about his company. READ MORE

Featured Program: Hackensack

Hackensack University Medical Center (HUMC) recently celebrated a milestone anniversary of the Center for Bloodless Medicine and Surgery (CBMS). June marked the fifteen years since the inception of this innovative and much needed program located in the Northern New Jersey area.

To date thousands of patients have benefited from receiving the gold standard of transfusion-free treatment at HUMC. Many amazing and heartwarming experiences were presented on the evening of June 18th when Jo Valenti, BSN, RN the program's director, gave the history of Hackensack's Bloodless Medicine and Surgery Program... READ MORE

IN THIS ISSUE

  • Personal Message
  • Featured Questions
  • The Evolution of Blood Management
  • Introducing: Strategic Healthcare Group, LLC
  • Featured Program: Hackensack
  • Miracle Babies
  • Epidural Blood Path
  • Patient Self Determination Act (PSDA)

Our Sponsors

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Success Story

Miracle babies: Rebecca and Abigayle Cain at one month.
Miracle Babies: Rebecca and Abigayle Cain at one month.
A message from Laura and Dan Cain, "During the worst situation of our lives, Hackensack University Medical Center was the best place for us to be. Our little miracles would not be here if it were not for the caring support and diligent coordination of the Bloodless Medicine Program and OB/Gyn Department at Hackensack University Medical Center."... READ MORE
Visit Our Resource Map

Also see our Hospital Directory

Technology Corner

Up-to-date health care providers have many tools at their disposal, including: To stay abreast of current blood management technology, check this area in upcoming newsletters.

Epidural Blood Patch
Epidural Blood Patch
The epidural space.

Dr. Paul Loubser, MDAn epidural blood patch refers to the injection of a small volume of autologous blood into the epidural space of the vertebral column.... READ MORE

Contributed by Paul Loubser MD, President/CEO, National Cardiac Anesthesia Consultants, PA, Sugar Land, Texas

Prepare NOW For A Medical Emergency

Prepare NOW For A Medical Emergency

This ongoing series will help you prepare for a medical emergency.

It will also provide information about important forms that should be used to document healthcare decisions and give end-of-life directions.

What is the history behind the patient self determination act?

The history of the Patient Self Determination Act (PSDA) led to the development of Advance Directives documents. How did the PSDA evolve from just one automobile accident? Who has been effected?How have Advance Directives been implemented for the benefit of patients?... Read more and view the video of this important medical history.

Get Answers Quickly

Questions are tagged to quickly locate questions of particular interest. The following are a few related to Advance Preparation.

dpa, dphc, documents, legal, preparation
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