Monday, November 23, 2009

Blood Transfusion

When a person is given a blood transfusion, that person is really only receiving part of the blood that has been donated for his or her use. The transfusions typically transfuse only the red blood cells that have been donated.

Blood transfusions are used to correct two main, major types of problems. The first problem is acute and massive blood loss. This empties the blood vessels to the degree that the heart cannot maintain enough blood pressure to move the blood through the body. The second problem is severe anemia. Severe anemia is when there is enough blood volume in the body but not enough red blood cells in the blood to get oxygen to the body's tissues.

Physicians have to carry out compatibility test before blood transfusion to their patient. Cross-Matching, is a test done by physicians to determine if the donated blood matches the recipient's blood that is in dire need of a blood transfusion. There are two ways to do cross-match test: Electronic and Manual.

Electronic Cross-Matching: You simply inject the donor's blood and the recipient's blood into a machine which connects to a computer. If all the necessary components of the blood are compatible, the computer prints off a sheet that tells you that it is safe to do a transfusion with this blood. The physician can then safely perform the transfusion of the blood. This is an important factor during emergencies when a patient has lost a lot of blood.

Serological Cross-Matching: When the electronic method is not available, serological cross-matching is the second choice. In this method, the physician or the blood technician at hand has to manually do the test in order to verify whether the blood of the recipient matches the blood of the donor. Blood is collected from the recipient. Plasma from the blood is extracted via centrifuge method. The plasma is then injected with a syringe into test tubes with the donor blood. If agglutination occurs, then that means that the patient's plasma contains antibodies against the donor's blood. If there is no agglutination, then a match is made and the blood is safe to transfuse.

For getting more details & case studies of blood transfusion, read internal medicine teaching by Professor EBM.


Thursday, November 19, 2009

Internal Medical Training Program through Distance Learning

There are many educational programs that are offered through distance learning. Whether you are interested in obtaining a particular level of certification or accreditation, or if you just want to gain a certain amount of knowledge about an area of study that is of interest to you, distance learning programs might be the answer for you.

A goal of internal medicine training programs is to provide trainees with supervised clinical experiences in preparation for their future professional careers. For getting Study Material Visit Professor EBM, the premier online, evidence-based teaching resource for inpatient internal medicine.

It is composed of over 80 teaching modules designed for use in internal medicine residency programs and student clerkships. Each topic is meticulously researched, footnoted and updated on a yearly basis. Major, influential studies are identified, summarized and analyzed. In diseases in which the evidence is sparse, relevant review articles, guidelines and systematic reviews are noted. All cases, questions, answers and summaries of original articles are developed using the principles of evidence-based medicine. The teaching modules are piloted in a real-life internal medicine residency program, and improvements are made based upon formal feedback from attendings and housestaff. The modules are designed to be taught in a small group, interactive format.