Emergency Department Evaluation and Management of Patients with Bleeding Disorders
NHF has partnered with Guideline Central to make these guidelines accessible in a
variety of formats:
This resource was created to provide guidance to emergency department personnel who may encounter patients presenting with a bleeding disorder. Developed by NHF’s Medical and Scientific Advisory Council, the guidelines address key areas, including triage, assessment, and diagnostics. The document emphasizes the importance of an expeditious and preventative approach to managing bleeding disorders, to forestall serious and sometimes life-threatening outcomes that can be avoided by employing a “treat first” strategy.
Included are a list of indications for the initiation of factor replacement therapy, and recommendations for treatment based on several scenarios that encompass inhibitor status, hemophilia type and bleeding severity. The document also contains additional treatment considerations, including guidelines for the appropriate preparation and administration of factor replacement products and DDAVP.