EM Cases · Anaemia and transfusion
Restrictive transfusion and TACO — resus teaching station
ACEM OSCE on restrictive thresholds, one-unit reassessment, massive haemorrhage cues, and TACO vs TRALI.
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Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Stable GI bleed anaemia then an overloaded elderly transfusion reaction.
Station brief
Format. Resus + teaching hybrid, 11 minutes.
References4ShowHide
- [1]Hébert PC, Wells G, Blajchman MA, et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care (TRICC). New England Journal of Medicine, 1999.PMID 9971864
- [2]Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio (PROPPR). JAMA, 2015.PMID 25647203
- [3]Soni L, Saeed S, Cserti-Gazdewich C, McVey MJ. Mortality-associated risk factors for transfusion-associated circulatory overload. Vox Sang, 2024.PMID 38872390
- [4]Holst LB, Haase N, Wetterslev J, et al. Lower versus higher hemoglobin threshold for transfusion in septic shock. NEJM, 2014.PMID 25270275