Global Hemostasis Assays

Multi-site Validation of the ACT and TEG

From Rachel Donner: “Hello, George. I am a POC consultant at Maine Medical Center in Portland, ME. My department has had difficulty finding guidelines for best practices for instrument-to-instrument comparisons on our ACT and TEG programs. Currently, we have 19 Medtronic ACT Plus and 4 TEG 6s (and only 2 POC consultants at this location, […]

Bleeding Disorders

CAP Today Announces VEA Guide

The October 2023 issue of CAP Today announced the publication of Volod, O, Whole Blood Viscoelastic Assays in Clinical Diagnosis: An Illustrated Case-Based Guide. A brief interview with editor Oksona Volod, MD, describes the guide and lists its contributors. The guide is a comprehensive review of whole blood viscoelastometry [VET] from its start with the […]

Global Hemostasis Assays

CLN: Viscoelastometry Article

Here is a May 2023 Clinical Laboratory News cover review by colleague and fellow “clotter” Oksana Volod, MD, entitled “Is TEG the Right Assay? [click]” The article describes the updated means for near-patient viscoelastometry assays, whose original methodology became available in 1948. Clinical Laboratory News is a widely distributed American Association for Clinical Chemistry [AACC} […]

Global Hemostasis Assays

Hemosonics Quantra QStat Cartridge

On November 30, Hemosonics, LLC announced that they had received 510(k) market clearance from the U.S. Food and Drug Administration (FDA) for the Quantra Hemostasis System with QStat cartridge, which accompanies their QPlus cartridge. Click here for the press release.

Viscoelastometry

November, 2022 Quick Question: PT/INR

The stem or our November 2022 Quick question asked, If you use the PT when no warfarin is being measured, how do you report the results? Our 51 participants responded as follows: Report both PT and INR: 34 [66%] Report PT/MRI ratio: 0 Report PT only: 14 [27%] Report INR only: 4 [7%] Answer 2 […]

Anticoagulant Therapy

November, 2022 Quick Question

Please visit and respond to our November 2022 Quick Question, submitted by Dave McGlasson. The question asks, "If you use the PT when no warfarin is being measured, how do you

June, 2022 Quick Question Summary: VET Instruments

Our June 2022 Quick Question asked, “What viscoelastometry [VET] equipment is employed in your ER or OR?” Out total response was 22 participants. Answers: Thromboelastograph 5000 [TEG]: 18% [4] Thromboelastograph 6S [TEG]: 18% [4] Thromboelastometry [ROTEM]: 23% [5] Quantra Qplus: 0 Sienco Sonoclot: 0 Our lab doesn’t manage VET testing: 41% [9] At the June […]

Global Hemostasis Assays

OR Hemostasis Presentation

I [Geo] will present “Hemostasis in the Operating Room” at the American Society for Clinical Laboratory Sciences Joint Annual Meeting in Grand Rapids, Michigan, Wednesday, tomorrow, June 29, 1:45–2:45 EDT. The “JAM” will be a hybrid meeting, so presentations will be available on-site or online. My talk covers anticoagulation and coagulopathy management and features the […]

Global Hemostasis Assays

ASCLS Annual Meeting June 26–30

The ASCLS, AGT, and SAFMLS hybrid annual meeting [JAM] is planned for June 26–30, 2022 in Grand Rapids, MI. Click here for the details. George presents Operating Room Hemostasis Testing Wednesday, June 29, in-person 1:45–2:45 ET. The talk includes how the OR employs the activated clotting time or viscoelastometry to monitor heparin superdosing and reversal. […]

September 2021 Quick Question: TEG

Our September 2021 Quick Question attracted only 14 responses, perhaps reflecting the minimal communication between the central laboratory and the anesthesiology service in most operating rooms. Our question was “What is the favorite near-patient viscoelastic test of US anesthesiologists?” Here are your answers: Rotational thromboelastometry [ROTEM]: 14% [2] Resonance sonorheometry [Quantra]: 7% [1] Activated clotting […]

Global Hemostasis Assays

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George Fritsma is a medical laboratory scientist, educator, and author. George holds faculty appointments with Rutgers University and Michigan State University, and is a member of the International Society on Thrombosis and Hemostasis, American Association of Clinical Chemists, and American Society for Clinical Laboratory Science.

Cheat Sheets from George

Quick Question