Episode 28: The Hemophilia Podcast featuring Dr. Joanna Pierro and Dr. Anand Swaminathan

Written By The Administrator

Learning Points:

- Hemophilia A - issue with Factor 8, Hemophilia B - issue with Factor 9

- There are 3 main classifications: mild (factor level >5%), moderate (levels between 1-5%), or severe (<1%). Ask family or check charts.

- The most common presentations you will see in patients with severe hemophilia are spontaneous bleeds (such as hemarthrosis or intramuscular hemorrhage) or bleeding after trauma, even minor trauma.

-In a patient with known hemophilia and trauma, regardless of obvious injury, we ALWAYS administer factor first.

-Immediate Contact with Hematology: Stress the vital importance of early consultation with the on-call hematologist. This allows for tailored treatment recommendations and coordinated care.

Other Important Considerations:

  • Avoiding unnecessary venipunctures and intramuscular injections.

  • Importance of MedicAlert bracelets/identification.

The Administrator
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Episode 27: Compassion in Medicine Featuring Dr. Anand Swaminathan and Dr. Theodore Strange