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#NATA26 I 29 April - 02 May I Bilba🇪🇸

🔷Coagulopathy
From protocols to personalised care - advancing #coagulopathy mgt.

🔑Standardised mgt
T. Tomić Mahečić🇭🇷
🔑Individualised (ROTEM/TEG/ClotPro)
D. Fries🇦🇹
🔑DIC in critical illness
J. Demoiselle🇫🇷

👉 nataonline.com/annual-sympo...

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#NATA26 | 29 April–2 May | Bilbao🇪🇸
Programme Highlight

#Coagulopathy management standardised – what can we do in daily practice?
Tina Tomić Mahečić 🇭🇷
Structured, evidence-based approaches to coagulopathy management.

👉 View the programme and register nataonline.com/annual-sympo...

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Timely recognition is critical. Learn how monitoring of coagulopathy enables more precise interventions and better patient outcomes.
Dive deeper www.sabm.org/cc-monitorin...

#Coagulopathy #Healthcare #PatientCare

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Wonderful day on Saturday at the Royal Institution representing C4TS @qmul.bsky.social for their “For your inspiration: Medical Marvels” event. Great to showcase our cutting edge research and innovation in translational trauma sciences #Publicengagement #Trauma #Science #ECMO #Coagulopathy #MedSky

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Explore the numerous advances in #TransfusionMedicine, including the development of novel products and approaches to enhance safety and treat #coagulopathy and acute hemorrhage.

doi.org/10.1097/01.A...

@harvardmed.bsky.social @mayoclinic.org @dukemedschool.bsky.social

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www.nature.com/articles/s41...

www.sciencedirect.com/science/arti...

www.neurology.org/doi/full/10....

the findings suggest that #coagulopathy in #COVID is not merely a consequence of inflammation, but rather serves as an apical driver of infection-induced #thromboinflammation & #neuropathology.

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Fig. 1 Antithrombogenicity in physiological status and prothrombotic shift in sepsis-induced coagulopathy
The vascular endothelial cells maintain the antithrombotic condition by producing nitric oxide (NO) and prostaglandin I (PGI,). Antithrombin/heparan sulfate of the endothelial glycocalyx contributes to the antithrombogenicity of the luminal surface. Thrombomodulin (TM) on the surface of endothelial cells converts protein C (PC) to activated protein C (APC) and exerts antithrombotic activity. This antithrombotic condition turns to the opposite in sepsis-induced coagulopathy (SIC). Monocyte expresses tissue factor (TF) and initiates the extrinsic coagulation cascade, and exposed collagen beneath the endothelium initiates the intrinsic coagulation cascade. Activated neutrophils eject neutrophil extracellular traps (NETs) and further propagate coagulation and inflammation. Platelets also participate in thrombus formation by releasing von Willebrand factor (VWF) and platelet factor 4 (PF4). Damaged endothelium releases VWF, angiopoietin 2 (Ang2), and expresses adhesion molecules that facilitate cellular attachment. Endothelial cells produce excess plasminogen activator inhibitor 1 (PAI-1) and suppress fibrinolysis

Fig. 1 Antithrombogenicity in physiological status and prothrombotic shift in sepsis-induced coagulopathy The vascular endothelial cells maintain the antithrombotic condition by producing nitric oxide (NO) and prostaglandin I (PGI,). Antithrombin/heparan sulfate of the endothelial glycocalyx contributes to the antithrombogenicity of the luminal surface. Thrombomodulin (TM) on the surface of endothelial cells converts protein C (PC) to activated protein C (APC) and exerts antithrombotic activity. This antithrombotic condition turns to the opposite in sepsis-induced coagulopathy (SIC). Monocyte expresses tissue factor (TF) and initiates the extrinsic coagulation cascade, and exposed collagen beneath the endothelium initiates the intrinsic coagulation cascade. Activated neutrophils eject neutrophil extracellular traps (NETs) and further propagate coagulation and inflammation. Platelets also participate in thrombus formation by releasing von Willebrand factor (VWF) and platelet factor 4 (PF4). Damaged endothelium releases VWF, angiopoietin 2 (Ang2), and expresses adhesion molecules that facilitate cellular attachment. Endothelial cells produce excess plasminogen activator inhibitor 1 (PAI-1) and suppress fibrinolysis

Progression from sepsis to disseminated intravascular coagulation
Inflammation and coagulation are the major drivers of disease progression in sepsis. Patients progress from sepsis-induced coagulopathy (SIC), an early-phase disseminated intravascular coagulation (DIC), to overt, late-phase DIC. Multiple risk factors are known to facilitate disease progression and increase the risk of death. The Japanese Association for Acute Medicine (JAAM) DIC criteria is also designed to diagnose early-phase DIC; however, it does not overlap with SIC

Progression from sepsis to disseminated intravascular coagulation Inflammation and coagulation are the major drivers of disease progression in sepsis. Patients progress from sepsis-induced coagulopathy (SIC), an early-phase disseminated intravascular coagulation (DIC), to overt, late-phase DIC. Multiple risk factors are known to facilitate disease progression and increase the risk of death. The Japanese Association for Acute Medicine (JAAM) DIC criteria is also designed to diagnose early-phase DIC; however, it does not overlap with SIC

#Medsky🧪 #IDSky #pedsky #Sepsis induced #coagulopathy - one of the dreaded conditions to treat in #PedsICU
annalsofintensivecare.springeropen.com/counter/pdf/...

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🦠 Direct viral damage of tissues targeted by #SARSCoV2 in acute #COVID
🦠 #Coagulopathy & vascular endothelium activation or dysfunction
🦠 Dysregulated metabolites & vagal signaling
🦠 Cortisol & the hypothalamic-pituitary-adrenal axis
🦠 #gutmicrobiota alterations are associated with LC

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Preview
Autoantibodies to protein S may explain rare cases of coagulopathy following COVID-19 vaccination - Scientific Reports Scientific Reports - Autoantibodies to protein S may explain rare cases of coagulopathy following COVID-19 vaccination

#MedSky🧪#IDSky #Publichealth #ImmunoSky Rare #Coagulopathy caused by #autoantibody to protein S #COVID19.

www.nature.com/articles/s41...

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#MedSky🧪#IDSky #Publichealth #NeuroCovid Life-threatening thrombotic events and neurological symptoms & prevalent persistent in patients with #longCOVID Despite the clinical evidence .The underlying mechanisms of #coagulopathy in LC & its consequences (inflammation & #neuropathology )

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#MedSky🧪#IDSky What’s bad for 🐁 then it’s worst for human .Accumulating evidence suggests that #COVID associated #coagulopathy characterized by dysregulation of the #coagulation cascade, #fibrinolysis system #pulmonarymicrovascularimmune-#thrombosis during different stages of #SARSCoV2 infection

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The #pathophysiology of #COVID19-associated #coagulopathy is complex & implies different pathways that occur in parallel leading to thrombus formation. In the #Casereport of #Maranticendocarditis with recurrent #thromboembolism potentially associated with #COVID19 and delayed onset of malignancy…

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JC: Does earlier TXA save lives? St.Emlyn's Administration of tranexamic acid (TXA) is integral part ...

ICYMI #FOAMed from @stemlyns JC: Does earlier TXA save lives? https://is.gd/WriamZ #FOAMed #Coagulopathy

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JC: Reversal of DOACs with Andexanet Alfa. St.Emlyn's reversal of DOACs and NOACs using Andexanat Alfa against ...

ICYMI #FOAMed from @stemlyns JC: Reversal of DOACs with Andexanet Alfa. https://is.gd/EvEWGQ #foamed #coagulopathy

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JC: Major Transfusion Protocols - evidence or lack of? St... Critical appraisal of meta analysis of MTP Major Transfus...

ICYMI #FOAMed from @stemlyns JC: Major Transfusion Protocols – evidence or lack https://is.gd/n1RuGs #coagulopathy

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JC: AVP in Haemorrhagic Shock. St Emlyn's Does AVP infusion reduce blood product requirements in tr...

ICYMI #FOAMed from @stemlyns JC: AVP in Haemorrhagic Shock. St Emlyn’s https://is.gd/qrJlc1 #foamed #coagulopathy

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JC: Getting the Balance Right: The PROPPR Trial Journal club review of the PROPPR Trial St.Emlyn's Critic...

ICYMI #FOAMed from @stemlyns JC: Getting the Balance Right: The https://is.gd/9mztIl #coagulopathy #journalclub

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JC. ROTEM for ED coagulopathy detection. St.Emlyn's emergency department use of ROTEM for the detection of co...

ICYMI #FOAMed from @stemlyns JC. ROTEM for ED #coagulopathy detection. https://is.gd/AxKJtN #foamed #featured

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JC: Does earlier TXA save lives? St.Emlyn's Administration of tranexamic acid (TXA) is integral part ...

Archive: #FOAMed JC: Does earlier TXA save lives? St.Emlyn's Administratio stemlynsblog.org/earlier-txa-saves-lives-... #foam2 #coagulopathy

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JC: Reversal of DOACs with Andexanet Alfa. St.Emlyn's reversal of DOACs and NOACs using Andexanat Alfa against ...

Archive: #FOAMed JC: Reversal of DOACs with Andexanet Alfa. St.Emlyn's 123 stemlynsblog.org/jc-reversal-of-noacs-and... #foam2 #coagulopathy

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JC: Tranexamic acid - does the evidence stack up? Critical appraisal of paper on the use of TXA in severely...

Archive: #FOAMed JC: Tranexamic acid - does the evidence stack up? Here at stemlynsblog.org/tranexamic-acid-evidence... #foam2 #coagulopathy

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JC: Major Transfusion Protocols - evidence or lack of? St... Critical appraisal of meta analysis of MTP Major Transfus...

Archive: #FOAMed JC: Major Transfusion Protocols - evidence or lack of? stemlynsblog.org/major-trauma-protocols-e... #coagulopathy #featured

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JC: Tranexamic Acid for Everyone? - St.Emlyn's Review of CRASH-2 on tranexamic acid TXA. Use of TXA at d...

Archive: #FOAMed JC: Tranexamic Acid for Everyone? - St.Emlyn's [tweet stemlynsblog.org/tranexamic-acid-for-ever... #coagulopathy #featured

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JC. ROTEM for ED coagulopathy detection. St.Emlyn's emergency department use of ROTEM for the detection of co...

Archive: #FOAMed JC. ROTEM for ED coagulopathy detection. St.Emlyn's Coagu stemlynsblog.org/jc-rotem-ed-coagulopathy... #foam2 #coagulopathy

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JC: Getting the Balance Right: The PROPPR Trial Journal club review of the PROPPR Trial St.Emlyn's Critic...

Archive: #FOAMed JC: Getting the Balance Right: The PROPPR Trial   stemlynsblog.org/jc-getting-balance-right... #coagulopathy #trauma

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