RT Book, Section
A1 Cico, Stephen John
A2 Tintinalli, Judith E.
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Stapczynski, J. Stephan
A2 Cline, David M.
A2 Thomas, Stephen H.
SR Print(0)
ID 1166812478
T1 Hemostasis
T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260019933
LK accessmedicine.mhmedical.com/content.aspx?aid=1166812478
RD 2024/04/19
AB Most  bleeding  seen  in  the  ED  is  a  result  of  trauma—local  wounds,  lacerations,  or  other  structural  lesions—and  the  majority  of  traumatic  bleeding  occurs  in  patients  with  normal  hemostatic  mechanisms.  In  these  patients,  specific  assessment  of  hemostasis  is  unnecessary.  However,  some  ED  patients  have  abnormal  bleeding  due  to  impaired  hemostasis.  Identifying  these  patients  requires  attention  to  the  history  and  physical  findings.1-3  Generally  speaking,  when  patients  have  spontaneous  bleeding  from  multiple  sites,  bleeding  from  untraumatized  sites,  delayed  bleeding  several  hours  after  trauma,  and  bleeding  into  deep  tissues  or  joints,  the  possibility  of  a  bleeding  disorder  should  be  considered.