We recently had some difficulty regarding triage and management of our
haemophilia patients when they arrive to our Children's Emergency Service.
The main issue being the amount of time between arrival to department,
initial management and finally treatment.
I was asked to look how other centres manage their haemophilia patients.
Do you have a management protocol and guideline for haemophilia patients in
the emergency room?
I am aware of triage guidelines which make a "bleeding disorder" an
emergent triage with initial 15 min re-evaluation or assessment.
Some people suggest to infuse first with recombinant factor V111 and assess
later. Other individuals insist on evaluate first and triage the type of
bleed to either emergent, urgent or non urgent.
Parents are getting well informed and insist on immediate treatment, which
put a burden on staff.
Is their any guidelines regarding this issue or any suggestions of who to
Sias van Rensburg
University of Saskatchewan
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