Blood delivers oxygen and other essential substances throughout the body, removes waste products of metabolism, transports hormones from their origin to site of action, signals and defends against threatened infection, promotes healing via the inflammatory response, and maintains. Hematologic and oncologic emergencies the picu handbook. Ppt hematologic and oncologic emergencies powerpoint. Emt chapter 19 endocrine and hematologic emergencies. Most commonly occurs in patients with tumors with high cell turnover acute leukemia, burkitts lymphoma with initiation of therapy, but can occur in any malignancy, even without chemotherapy. Acute lifethreatening conditions in oncology patients may develop either because of underlying malignancy or as a complication from treatment. By creating an account i agree to poweredtemplates terms and conditions.
Choose from 500 different sets of hematologic emergencies flashcards on quizlet. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Toxicologydermatologic emergenciesacidbase disturbancesthyroid emergenciesadrenalpituitary emergenciesoncologic. A comprehensive study guide, 9e tintinalli je, ma o, yealy dm, meckler gd, stapczynski j, cline dm, thomas sh. Hyperleukocytosis is defined as a white blood cell wbc count 100,000. Haematological emergencies royal college of physicians. Oncologic emergencies can be categorized as metabolic, hematologic, and structural conditions. Oncologichematologic emergencies marjan koch july 15, 2009 case 1 56 yo male with past medical history of pulmonary embolism in 1982 after he was in the hospital for. Tintinalli je, stapczynski j, ma o, yealy dm, meckler gd, cline dm. Jason mitchell michael szavakovats joe vipond may 17, 2012. Blood related biotech, blood, hepatitis, autoimune disease.
Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. In the true spirit of emergency medicine our content is available to anyone, anywhere, anytime. L, most commonly seen in children with acute lymphocytic leukemia all. Hematologic emergencies powerpoint ppt presentation. In addition, emergencies resulting from comorbid conditions also occur in cancer patients. Learn chapter 17 hematologic emergencies with free interactive flashcards. Ppt hematology emergencies powerpoint presentation, free. This post is part of a series developed in preparation for participation in acep simwars. View large image view hires image download powerpoint slide. Sadowitz, md, siraj amanullah, md, and abdulkader souid, md, phd children with various hematologic problems frequently present to the emergency department ed and require a careful physical examination, appropriate diagnostic testing, and prompt initiation of therapy. We present clinical vignettes describing 10 emergencies encountered in practice and the questions such emergencies generate. Most patients uncomfortable if hemoglobin concentration hematologic emergency and urgency. Thrombotic thrombocytopenic purpura ttp is a hematologic emergency fatal without prompt treatment. How i treat hematologic emergencies in adults with acute leukemia tsila zuckerman.
Ppt hematologic emergencies powerpoint presentation free to view id. Mucocutaneous bleeding, including petechiae, ecchymoses, epistaxis, or gastrointestinal, genitourinary, or heavy menstrual bleeding, is characteristic of qualitative or quantitative platelet disorders. Most patients uncomfortable if hemoglobin concentration hematologic emergencies, and these patients will be seen by various specialists. Hematologic principles goldfranks toxicologic emergencies. Hematologic emergencies n hyperviscosity due to dysproteinemia n hyperleukocytosis and leukostasis. Case studies are boardstyle questions with explanations and links to related articles featured in traineenews, an enewsletter that is sent to hematology trainees on a quarterly basis case study. Mar 01, 2017 hematologic and renal emergencies solo medicine. The signs and symptoms of oncologic emergencies are often common problems experienced by individuals with cancer such as nausea, pain, headache, and fever. Learn hematologic emergencies with free interactive flashcards. Hematological emergencies are defined as acute lifethreatening.
Hematologic emergencies are acute, lifethreatening events. Acute myeloid leukemia and acute lymphoblastic leukemia remain devastating diseases. Oncologic emergencies may be categorized by their system of origin, as metabolic, or as hematologic. Hematologic emergencies in the pediatric emergency room peter d. Cancer patients often have immunologic, metabolic, and hematologic defects, which can lead to complex emergency conditions when they present to an emergency center. Hematologic emergencies in the pediatric emergency room. These oncological emergencies can occur as an initial presentation or in a patient with an established diagnosis and are encountered in all medical care settings. Brief introduction to hematologic emergency and urgency. Oncologic emergencies noel rowan, md, facp comprehensive cancer center las vegas, nevada oncologic emergencies cardiovascular pericardial tamponade. An abdominal series is remarkable for osteopenia of the pelvis. The knowledge of most hematological emergencies is crucial in daily practice.
Hematologic emergencies emergency medical education. Displaying powerpoint presentation on hematology oncology emergencies available to view or download. Although these conditions are not seen commonly in day to day clinical practice, recognition of the underlying pathological processes is. Jul 15, 2015 presentation on hematologic emergencies. Oncologic hematologic emergencies marjan koch july 15, 2009 case 1 56 yo male with past medical history of pulmonary embolism in 1982 after he was in the hospital for. Severe anemia may be due to acute or chronic disorders. Image courtesy of dr jose pulido, department of ophthalmology, mayo clinic. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte. Cancer, its treatments, and its baseline comorbidities can independently or collectively lead to hematologic emergencies requiring quick recognition, prompt diagnosis, and swift delivery of therapeutic interventions by frontline clinicians. Ppt hematologic emergencies powerpoint presentation, free. As wbc count increases, the viscosity of blood is increased, which can lead to aggregation of leukocytes and obstruction of blood vessels. How i treat hematologic emergencies in adults with acute leukemia. Hematologic and oncologic emergencies will present on a daily basis to emergency.
Obstetrical emergencies these could be the best calls that you will ever go on or the absolute worst nightmares you could ever imagine. Download hematology oncology emergencies ppt for free. The results confirm that hematologic emergencies can be caused by hematologic malignancies. Sep 28, 2011 brief introduction to hematologic emergency and urgency. View and download powerpoint presentations on diabetes emergencies ppt. Hematologic emergencies scientific research publishing. Kluckman m, stern e, reeves l kluckman, matthew, et al hematologic emergencies. Emergencies in hematology and oncology mayo clinic proceedings. And yet, every step toward greater knowledge, every new treatment option will be of little.
Sickle cell anemia incidence sickle cell gene survives by providing resistance to malaria two normal genes malaria death two sicklecell genes sickle cell anemia death one normal geneone sicklecell gene survival persons with sickle cell trait survive, pass gene to offspring. Flashcards chapter 17 endocrine and hematologic emergencies. Lack of circulating red blood cells in the body causes tachycardia, pallor, and fatiguemay be caused by the parvovirus b19, which affects the production of new red blood cells, nearly stopping it for 23 days. Hematologic emergencies 1 hematologic emergencies 2 sickle cell anemia. There are obvious risks associated with transfusion in patients with aiha, but these must be carefully balanced against the gains. Dec 01, 2006 most oncologic emergencies can be classified as metabolic, hematologic, structural, or side effects from chemotherapy agents. A 23yearold woman with sickle cell disease presents with severe joint pain and a fever of 102.
Patients with both malignant and nonmalignant haematological disease may present with dramatic and often life threatening complications of their diseases. Hematologic emergencies powerpoint ppt presentation loading. Start studying emt chapter 19 endocrine and hematologic emergencies. Some patients with hemostatic disorders will report little to no bleeding, while others with normal hemostasis will report an excessive tendency to bleed. Free download click here for more powerpoint presentations. A free powerpoint ppt presentation displayed as a flash slide show on id.
Treatment of oncologic emergencies american family physician. Choose from 500 different sets of chapter 17 hematologic emergencies flashcards on quizlet. She is conscious and alert, and tells you that her symptoms began yesterday and suddenly worsened today. The most common lifecthreatening hematologic emergencies include hemorrhage and severe anemia. The child with acute blood loss leading to anemia may present with signs of hypovolemic shock, including tachycardia, delayed capillary refill, cool extremities, mental status changes, respiratory distress, and in advanced cases, hypotension. Potentially lifethreatening clinical syndrome that results in electrolyte derangements secondary to significant tumor cell death and impairment in the kidneys ability to maintain homeostasis. Blood is rightfully considered the vital fluid, because every organ system depends on the normal function of blood. Hematologic emergencies may be defined as sudden or unexpected lifethreatening events in clinical hematology and oncology which require immediate action predominantly based on clinical judgements and supported only by investigations that can be expected to produce results rapidly. Hematologic and oncologic emergencies emergency medicine. The site of bleeding may provide an indication of the hemostatic abnormality. Professor emeritus department of pediatrics university of nevada school of medicine. Ppt hematologic emergencies powerpoint presentation. Emergencies in pediatric hematology akshat jain md, mph15 division of pediatrics, pediatric hematology oncology and stem cell transplantation steven and alexandra cohen childrens medical center of new york 2. However, the management of hematologic emergencies is challenging and may be controversial.
It is important to elicit what abnormal bleeding means to the patient, as there is wide variability in patient perceptions of bleeding. Find powerpoint presentations and slides using the power of, find free presentations research about diabetes emergencies ppt. Chapter 24 hematologic emergencies at lenoir community. View large image view hires image download powerpoint. Unless otherwise cited, content is based on hippoem videos.
You are dispatched to a residence for a 29yearold woman with difficulty breathing. Hematologic emergencies 1 hematologic emergencies 2 sickle. Successful treatment of these conditions depends on the emergency veterinarian having a thorough understanding of the possible etiologies of these conditions, and a systematic approach to diagnosis and therapy. Ob emergency considerations remember that you have twopatients history is important, dont forget to ask about prenatal care third trimester bleeding is not normal. Metabolic and hematologic emergencies are mainly diagnosed on the basis of clinical and laboratory findings. Choose from 500 different sets of hematologic emergencies paramedic flashcards on quizlet.
Oncologic emergencies can result from either the cancer or its treatment. Hematology powerpoint template is a free medical template for powerpoint presentations with a blood icon image or blood illustration that you can download to decorate your blood donate presentations. At presentation, his white blood cell count wbc is 160 000. Learn hematologic emergencies paramedic with free interactive flashcards.
Daisy winner july 15, 2015 presentation, resource library. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The immediate aim is to improve vital signs by the use of colloid solutions until the most compatible red cells are available for transfusion. Hematologic emergencies presentation seed global health. This article deals with five of the most common emergencies encountered by haematologists. The hematology laboratory reports the machines keep clogging up. How i treat hematologic emergencies in adults with acute. Hematologyoncology emergencies emergency medicine clinics. Most oncologic emergencies can be classified as metabolic, hematologic, structural, or side effects from chemotherapy agents. Most patients uncomfortable if hemoglobin concentration download.
1332 1496 1120 488 67 512 772 604 140 57 1430 1540 233 78 1083 1470 666 1364 560 12 627 978 521 607 527 856 995 1046 1132 1589 316 200 377 117 630 520 893 706 919 1082 1157 239