::: Blood CME Center ::: Blood CME Center is a free educational initiative developed by experts in the fields of perioperative hemostasis, hematologic malignancies, and hemophilia and other bleeding disorders. Blood CME Center provides free continuing medical education (CME) featuring Web-based learning, such as podcasts and slide presentations. Visit our Web site to register and access free educational materials.

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What Do You Do Before You Transfuse?

Blood transfusions can be harmful to patients, especially when the procedure is not clearly indicated. Consider the following alternative treatments to reduce or prevent blood loss:

Iron supplementation and erythropoietin
Tourniquet and topical hemostatic agents
Autologous donation
Hemodilution and cell saver devices
Prohemostatic agents

In your efforts to establish hemostatic stability in patients, the decision to transfuse becomes an important one. Keeping these alternative treatments in mind may help with the course of action you take.

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