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075CE: What About Fibrinogen? with Melissa Cushing - Blood Bank Guy
Continuing Education Episode!
Continuing Education!

Are we ignoring the most important coag factor when transfusing bleeding patients? Melissa Cushing asks, “What about fibrinogen?”

Image of Melissa Cushing MD fibrinogen

Dr. Melissa Cushing

In trauma resuscitation, the “golden hour” is the critical first hour following traumatic injury during which prompt medical and surgical treatment can prevent death. The contribution of replacing critically low fibrinogen levels to survival of bleeding patients may be under-recognized.

We Need a Plan!

Dr. Melissa Cushing has studied this issue extensively, and she describes the current evidence for early fibrinogen replacement in the bleeding patient, logistical challenges transfusion services face, studies providing insights to desired fibrinogen target levels, and future options to provide early fibrinogen replacement with increased efficiency and safety.

Image of Melissa Cushing MD fibrinogen podcast

Dr. Melissa Cushing

In trauma resuscitation, the “golden hour” is the critical first hour following traumatic injury during which prompt medical and surgical treatment can prevent death. The contribution of replacing critically low fibrinogen levels to survival of bleeding patients may be under-recognized.

We Need a Plan!

Dr. Melissa Cushing has studied this issue extensively, and she describes the current evidence for early fibrinogen replacement in the bleeding patient, logistical challenges transfusion services face, studies providing insights to desired fibrinogen target levels, and future options to provide early fibrinogen replacement with increased efficiency and safety.

About My Guest:

Dr. Melissa Cushing attended Duke University, Georgetown University School of Medicine, Emory University School of Medicine for Clinical Pathology Residency Training, and John Hopkins School of Medicine for her Transfusion Medicine Fellowship. She is a Professor of Pathology and Laboratory Medicine and a Professor of Anesthesiology at Weill Cornell Medical College in New York City. She is the Associate Director of the Clinical Laboratories and the Director of Transfusion Medicine and Cellular Therapy at New York-Presbyterian Hospital, Weill Cornell Campus.

Dr. Cushing has over ten years of experience in Transfusion Medicine and Cellular Therapy and over 75 original research articles, editorials, book chapters, and reviews. Her areas of expertise include the treatment of perioperative bleeding, patient blood management, and innovation in transfusion medicine. At Cornell, she enjoys teaching medical students, residents, fellows and faculty from a variety of disciplines. Melissa lectures at national and international meetings on the targeted treatment of bleeding and patient blood management.

FREE Continuing Education!

This podcast episode offers a FREE continuing education activity where you can earn the following types of credit: 1 AMA PRA Category 1 CreditTM, 1 ASCLS P.A.C.E.® Contact Hour (including Florida Clinical Laboratory Credit), and American Board of Pathology Self-Assessment Modules (SAMs) for Continuing Certification (CC, formerly MOC).

To receive credit and review the accreditation information and related disclosures, please visit Transfusion News Continuing Education on Wiley Health Learning.

DISCLAIMER: The opinions expressed on this episode are those of my guest and I alone, and do not reflect those of the organizations with which either of us is affiliated. Dr. Cushing discloses consultant fees from Octapharma and Cerus, and research funding from Cerus. Dr. Chaffin has no relevant financial disclosures.

Further Reading:

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Music Credit

Music for this episode includes “Cuando te invade el temor” and “Reflejo,” both by Mar Virtual via the Free Music Archive. Click the image below for permissions and license details.
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