D. Fundamentals of Coagulation Management and Blood Component Therapy

Unit Objective:

At the end of this unit the resident knows the physiology, methods, and techniques to manage the coagulation and fibrinolytic systems, and uses component therapy to treat specific clinical problems.

Learner Objectives:

At the end of the unit the resident:

1. Understands the major blood groups, the clotting cascade, and the pathophysiology of clotting (e.g., abnormal clotting, activation of compliment, Kallikrein, prostanoids);
   
   
2. Understands the specific hemorrhagic and thrombotic complications of cardiac surgery and their management;
   
   
3. Understands the methods used in blood component storage and the measures taken to ensure a safe blood supply;
   
   
4. Understands the use of specific blood components to treat abnormalities of red cell quantity and quality, platelet quantity and quality, and coagulation function;
   
   
5. Knows the preoperative risk factors for excessive blood loss and blood utilization;
   
   
6. Understands the operative and postoperative techniques to ensure blood conservation.