Bloodman

Key point - anemia only occurs late in iron deficiency!

If eos < 1,500 don’t worry about it! Redefining Hematology Referral Thresholds for Eosinophilia - Patel - European Journal of Haematology onlinelibrary.wiley.com/doi/10.1111/ej…

First-line treatment with IV iron results in greater QALYs than oral iron across the reproductive lifetime. Treatment with IV iron dextran is cost-effective compared with treatment with IV iron sucrose, IV ferumoxytol, and oral ferrous sulfate. ow.ly/1zAn50YrZO9 #Anemia

El INR en paciente con cirrosis avanzada no refleja su riesgo real de sangrado🩸 Está revisión en Gastroenterología y Hepatología propone: - enfoque transfusional restrictivo - tromboelastografía para guiar terapia - evitar hemoderivados innecesarios 🔗 doi.org/10.1016/j.gast…

@medpedshosp @kaatz_scott @SPAQIedu Hopefully PEPPER will give us definite story on use of aspirin in orthopedics - pcori.org/research-resul…

@kaatz_scott presenting compelling evidence to SUPPORT Aspirin for VTE prophylaxis in ORTHOPEDIC SURGERY - CRISTAL - PREVENT-CLOT - EPCAT II @SPAQIedu #periop2026

@medpedshosp @SPAQIedu @DrBSlawski Avoid operating! Seriously bypass agents great for these situations

How to manage the patients with coagulation factors inhibitors? @SPAQIedu #Periop2026 @Bloodman @DrBSlawski

In mild #HemophiliaA you can use preoperative DDAVP! @DrBSlawski David Hepner. At @SPAQIedu #Periop2026 @KurtPfeifer @preopconsult @Kc3Dr

More evidence for under diagnosis and under treatment of iron deficiency in women! Prevalence of Ferritin Testing, Iron Deficiency, and Iron Supplementation Among Women with Fatigue in Ambulatory Care link.springer.com/article/10.100…

The most important change IMO doesn’t appear in the visual abstract. It’s the acknowledgment that all CKD patients should be screened for iron deficiency. Iron deficiency is more common than anemia in CKD. I recommend annual checks of TSAT, ferritin, serum iron, and CBC.

Does mechanical thrombectomy actually improve meaningful outcomes in intermediate-risk PE? 🤔 In the STORM-PE randomized trial, thrombectomy improved RV/LV ratios at 48 hours—but clinical outcomes were essentially identical to anticoagulation alone. Mortality, ICU and hospital length of stay, and clinical deterioration were similar, raising an important question: are we chasing imaging surrogates instead of patient-centered outcomes? For now, anticoagulation alone remains a perfectly appropriate choice for many intermediate-risk patients. How will this study change your current practice? Let us know in the comments. 👇💬 Listen for FREE: emrap.org/episode/ema202… #EMRAP #EmergencyMedicine #PulmonaryEmbolism #MedEd #CriticalCare #EvidenceBased #thrombectomy

@TobyRichardsUEL @WilliamAird4 thecurbsiders.com/curbsiders-pod…

@WilliamAird4 In our experience women are happy and welcome talking about periods and the recognition of heavy periods - to discuss how much fluid a tampon hold vs Maxi etc - this is normal for women and not a taboo : it must be a conversation and not hidden

Poll result: most respondents found “Mother Nature” explanations for menstrual iron deficiency off-putting. I’ve used that phrase myself. We rarely use comparable language when discussing male physiology, which may explain the reaction. Language patterns count.

@TobyRichardsUEL @WilliamAird4 srh.bmj.com/content/50/1/21

Previous guidelines suggest that pregnant women with sickle cell disease should be prescribed low-dose aspirin to reduce the preeclampsia and IUGR risk. Our new trial indicates this practice may be harmful. Very pleased to have been part of this @cctris_ trial.

@Papa_Heme @drjohnm @Sensible__Med @AlexBerenson Tacos double effectiveness

@drjohnm @Sensible__Med @AlexBerenson I didn’t read the paper. How many coffees a day do I need to prevent amyloid plaques in my brain?

I did not think it would be necessary to make the JAMA coffee paper a study-of-the-week, but the media reaction was shocking. On @Sensible__Med Here you go sensible-med.com/p/coffee-is-gr… cc @AlexBerenson

And so it begins…

@hswapnil @PulmCrit Also has the advantage of being the least costly iron plus we have shown with multiple infusions iron people don’t show up for all the infusions

@PulmCrit usually iron derisomaltose (monoferric) or some such - way safer than iron dextran

dropping gram doses of IV iron dextran is such a boss move 😁

@hswapnil @PulmCrit A good review of the issue

@hswapnil @PulmCrit Actually ours and other data show no safety difference in any IV irons. We use IV iron dextran in the majority of our patients jamanetwork.com/journals/jaman…

doi.org/10.1182/blooda… Ravulizumab appears to be safe and effective in pregnancy. We've been waiting for this data for a long time. #PNH #aHUS @ASH_hematology

IV iron good for infections? A Retrospective, Real-World Study of IV Iron Use to Treat Iron deficiency Anemia During Acute Infection | Blood | American Society of Hematology ashpublications.org/blood/article/…

Clinicians please share! @aakonc @jzbos @MaryCushmanMD @GBarnesMD @Bloodman 👇👇👇👇👇👇👇👇