Uncontrolled Nosebleed

From Gabor Varadi, MD, Albert Einstein Cancer Center: Dear George, I would like to discuss with you a nose bleeding case. The patient is a 55 yo female with history of hepatitis C-induced chronic liver disease, alcohol and cocaine abuse who came to us with left nostril bleeding following finger trauma (nose picking). She does not […]

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Mixing Studies

Apr 29 2014

george

5 M Urea for Factor XIII

From Pam Owens: Hi George, good to see you at THSNA! (Thrombosis and Hemostasis Summit of North America). I am hearing more about how ineffective the 5M urea test is for factor XIII screening and am thinking we just need to stop doing the assay in our lab. I’ll need to convince our lab director. Are there any articles or published […]

Factor Assays

TEG for LMWH?

While attending the American Society for Clinical Laboratory Science (ASCLS)-Michigan annual meeting in Kalamazoo, I met Beth Friedt, MSA, MT (ASCP), Administrative Director of the Clinical Laboratory at Hurley Medical Center, Flint, Michigan. She asked if thromboelastography (TEG) or thromboelastometry (TEM) has been used to measure low molecular weight heparin (LMWH) therapy. I knew of no instance where it was […]

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Anticoagulant Therapy

Apr 25 2014

george

D-dimer in Body Fluids

Here is a note from the American Society for Clinical Laboratory Science Consumer Web Forum: What is the normal value of D-dimer in pleural or peritoneal fluids. I know the normal range of D-dimer in the blood is less than 250 ng/mL D-Dimer Units but what about other body fluids? Thank you. I have found no reference to […]

Fibrinolysis

Kalamazoo Direct to You

George is in Kalamazoo where he will provide four Medical Laboratory Professionals Week presentations for the American Society for Medical Laboratory Sciences- Michigan. The ASCLS-MI annual meeting, “Move Forward in ’14 with ASCLS-Michigan” is Wednesday April 23–Friday, April 25 at the Radisson Plaza Hotel, 100 West Michigan Avenue, Kalamazoo. PowerPoints of each presentation are attached below. George’s presentations and times are… Thursday, April 24, […]

Events

Medical Laboratory Professionals’ Week

Welcome to Medical Laboratory Professionals’ Week, April 20–26. We are the hidden profession that saves lives. In celebration, we’ve added a new audio PowerPoint to our series, Hematology Case Studies: Lupus Anticoagulant Profile and Specimen Management. Continue to consult with Fritsma Factor, as we receive new and updated entries regularly.

Events

World Hemophilia Day

From Elaine Benoit, Precision BioLogic. Hi, George. Thursday, April 17 was World Hemophilia Day. Precision is a sponsor of the World Federation of Hemophilia and as part of their World Hemophilia Day activities, we had the opportunity to create and submit an infographic that they posted on their Facebook page. There are several infographics there; ours depicts hemophilia from […]

Posts

Anti-Xa to Replace PTT

From frequent contributor, Kim Kinney: Hi George, our Indiana University Health Pathology Laboratory is thinking of making the push again to use the Anti-Xa to monitor unfractionated (UFH) heparin therapy in place of the activated partial thromboplastin time (aPTT). I would like to hear from institutions that have made the transition successfully even in light of […]

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Anticoagulant Therapy

Apr 16 2014

george

Trauma-Induced Coagulopathy: Kansas City

George presents “Trauma-Induced Coagulopathy” at the spring meeting, A Patchwork of Knowledge, of the American Society of Clinical Laboratory Science–Missouri (ASCLS-MO) and Kansas (ASCLS-KS) on April 16, 2014 at 9:45 AM. The presentation handout, updated April 15, 2014, is posted here: Hemostasis in Trauma 4-16-14

Posts

Mixing Studies on Minimally Prolonged PTs and PTTs

I pose this question to see what others are doing in this scenario and what literature there is to support your practice. We commonly get mixing study requests in which the PT or PTT are just minimally out of our normal range, such as 0.1 seconds outside for PT. Is this 0.1 second enough to […]

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Mixing Studies

All Posts

Uncontrolled Nosebleed

5 M Urea for Factor XIII

TEG for LMWH?

D-dimer in Body Fluids

Kalamazoo Direct to You

Medical Laboratory Professionals’ Week

World Hemophilia Day

Anti-Xa to Replace PTT

Trauma-Induced Coagulopathy: Kansas City

Mixing Studies on Minimally Prolonged PTs and PTTs

George Fritsma MS MLS

Cheat Sheets from George

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