University of toronto transfUsion CUrriCUlUm 2014-2015

objeCtives

University of toronto transfUsion CUrriCUlUm 2014-2015 At the end of this course, the attendees will be able to:

blood bank testing 1. Summarize basics about blood group antigens, blood bank tests and pre-transfusion compatibility

testing 2. Identify testing that is required prior to issue of safe blood for patients with immune

hemolytic anemias 3. Know when to screen patients for platelet alloimmunization

risks of transfUsion 4. State the current risks of transfusion-transmitted infections 5. Describe challenges to transfusion safety (getting the right blood to the right patient) 6. Prevent, diagnose, manage and report acute and delayed transfusion reactions 7. Obtain informed consent for transfusion

indiCations for blood prodUCts 8. Appropriately prescribe components (RBC, plasma, platelets, and cryoprecipitate) 9. Infuse blood components properly10. Interpret coagulation testing results11. Have a reasonable approach to the correction of coagulation prior to procedures

indiCations for manUfaCtUred blood prodUCts12. Appropriately prescribe fractionated blood products (albumin, intravenous immunoglobulin, coagulation

factor concentrates) and emergency plasma exchange13. State when and how Rh immunoglobulin is administered in pregnancy

speCial transfUsion sitUations14. Know when to order CMV-negative and irradiated blood products15. Develop an approach to patients with congenital or acquired bleeding disorders (including reversal

of common anticoagulants)16. Safely transfuse a patient with sickle cell disease17. Manage a massively hemorrhaging patient, including surgical, trauma and obstetric patients, with

discussion of hemostatic medications (antifibrinolytics, DDAVP, topical sealants)

blood Conservation18. Have a standard approach to the management of pre-operative anemia, including how to interpret

the CBC19. Apply patient blood management strategies for a pre-operative patient, including patients who refuse

blood on religious grounds

attendee expeCtations1. Attend all sessions2. Be ready to vote with iclicker technology3. Participate in case discussions4. Refrain from excessive use of interruption devices

(Blackberries, iPhones)5. Arrange not to be on call the night before6. Complete on-line evaluations

Cost1. Free for all University of Toronto trainees

at the PGY1 level or greater2. Trainees from other Universities $2503. All other attendees $500

attendee materialAttendees will be provided with:1. PDFs of presentations uploaded to a common

course file portal

2. Appropriate refreshments at breaks3. Exam review session4. Certificate of completion of course

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appropriate additional training for:• Trainees in pediatric or adult programs in Anesthesia, Critical Care Medicine, Hematology, Oncology,

Obstetrics, Pathology, Clinical Pathology, Hematopathology General Internal Medicine, General surgery, Trauma, and Emergency Medicine.

• Staff physicians currently in the role of chair of the transfusion committee or director of the transfusion medicine services

• Blood management or transfusion safety nurses/technologists• A maximum number of attendees of 100 students (first-come, first served)

loCation:• St Michael’s Hospital LiKaShing Institute, Allan Waters Auditorium• Five days equally spaced throughout the academic year

attendee ContinUing edUCation CertifiCationAttendees will be provided with:1. Certificate of completion of Transfusion Medicine Camp after completion of post-course assessment

with pass score of 70%

objeCtives

Cont.

sCHedUle

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day 2 > fri. sep. 26, 2014 – CompliCations: immUnobiology of

(in)Compatibility, aCUte & long term transfUsion risks,

errors & inCidents

1 08:45-09:15 Dr. Yulia Lin Basic Blood Bank Testing for the Clinician

2 09:15-09:30 Dr. Katerina Pavenski Informed Consent

3 09:30-10:00 Dr. Margaret Fearon Acute & Delayed TTI

4 10:00-10:15 //////////break//////////////////////////////////////////////////////////////////////////////////////////////////

5 10:15-11:00 Dr. Christine Cserti-Gazdewich Acute Non-Infectious Reactions

6 11:00-12:15 Dr. Christine Cserti-Gazdewich SEMINAR 2A: Labile Component Reactions

7 12:15-13:15 ------------------------------- lUnCH -----------------------------------------------------

8 13:15-13:45 Dr. Robert Skeate Delayed Non-Infectious Reactions

9 13:45-14:15 Dr. Katerina Pavenski IVIG

11 14:15-14:30 ////////////break///////////////////////////////////////////////////////////////////////////////////////////////////

12 14:30-16:00 Dr. Jacob Pendergrast SEMINAR 2B: “Delayed or Derivative” Transfusion Reactions

day 1 > fri. jUl. 11, 2014 – blood bank labile goods “menU” &

indiCations – HoW it’s made, to be Used, and administered

1 08:30-09:00 ------------------------------ pre-CoUrse exam ----------------------------------

2 09:00-09:30 Dr. Robert Skeate Virtual CBS Tour

3 09:30-10:15 Dr. Jeannie Callum Red Cell Transfusion

4 10:15-10:30 ////////////break///////////////////////////////////////////////////////////////////////////////////////////////////

5 10:30-11:15 Dr. Lani Lieberman Platelet Transfusion

6 11:15-12:30 Dr. Katerina Pavenski SEMINAR 1A: RBC & Platelet Triggering

7 12:30-13:30 ------------------------------- lUnCH -----------------------------------------------------

8 13:30-14:30 Dr. Jeannie Callum Pre-Procedure Transfusion, Deficiency-Based

Coagulopathies & Proper Use of FP, PCC, & Cryoppt

9 14:30-15:00 Ms. Ana Lima Infusion Practice & Safety

10 15:00-15:15 ////////////break///////////////////////////////////////////////////////////////////////////////////////////////////

11 15:15-16:30 Dr. Jeannie Callum SEMINAR 1B: Basic Hemostasis Cases

sCHedUle

Cont.<<<

day 3 > fri. jan. 16, 2015 > HematologiC Conditions & speCial

transfUsion Considerations – Hdfn, nait, pediatriCs, aiHa,

sCd, bleeding disorders

1 09:00-09:30 Dr. Nadine Shehata Fetal/Neonatal Transfusion

2 09:30-10:15 Dr. Lani Lieberman Pediatric Considerations

3 10:15-10:30 //////////break///////////////////////////////////////////////////////////////////////////////////////////////////

4 10:30-11:15 Dr. Michelle Sholzberg Congenital Coag – vWD, Hemophilia

5 11:15-12:00 Dr. Donnie Arnold Immune Cytopenias

6 12:00-13:00 ------------------------------- lUnCH -----------------------------------------------------

7 13:00-13:30 Dr. Katerina Pavenski Apheresis / Exchange

8 13:30-14:30 Dr. Jacob Pendergrast Sickle Cell Disease

9 14:30-14:45 //////////break///////////////////////////////////////////////////////////////////////////////////////////////////

10 14:45-16:30 Dr. Jacob Pendergrast SEMINAR 3: SCD & Transfusions

day 4 > fri. apr. 17, 2015 – patient blood management /

Conservation & Complex Hemostasis

1 09:00-09:30 Dr. Jacob Pendergrast Transfusion as a Quality Indicator for Surgery

2 09:30-10:00 Dr. Yulia Lin Pre-operative Patient Blood Management

3 10:00-10:45 Dr. Keyvan Karkouti Intra-op Patient Blood Management:

Tranexamic Acid; Salvage and Triggers

4 10:45-11:00 //////////break///////////////////////////////////////////////////////////////////////////////////////////////////

5 11:00-12:15 Dr. Yulia Lin SEMINAR 4A: Patient Blood Management

6 12:15-13:00 ------------------------------- lUnCH -----------------------------------------------------

7 13:00–14:00 Dr. Rita Selby Hemostasis Testing & Reversal of

Inhibitor-Based Anticoagulants

7 14:00–14:15 //////////break///////////////////////////////////////////////////////////////////////////////////////////////////

8 14:15–16:00 Dr. Nadine Shehata SEMINAR 4B: Advanced Hemostasis Testing & Management

day 5 > fri. jUn. 5, 2015 – traUma, massive transfUsion

protoCols, & Controversial entities

1 08:30-09:30 Dr. Jeannie Callum Massive Hemorrhage: Pathophysiology &

Evidence based management

2 09:30-10:15 Dr. Jacob Pendergrast Massive Hemorrhage Protocols: Real World Application

3 10:15-10:30 //////////break///////////////////////////////////////////////////////////////////////////////////////////////////

4 10:30-12:00 Dr. Jeannie Callum SEMINAR 5A: Massive, Disaster Bleeding Cases

5 12:00-13:00 ------------------------------- lUnCH -----------------------------------------------------

6 13:00-13:30 Dr. Lani Lieberman Albumin

7 13:30-14:15 Dr. Jordan Tarshis Transfusion Authority Gradient

8 14:15-14:30 //////////break///////////////////////////////////////////////////////////////////////////////////////////////////

9 14:30-16:00 Dr. Jacob Pendergrast Final Review Session

yoU Will Have seven days to Complete

tHe online final examination.

design by

cserti.com

Dr. Donnie ArnoldMcMaster University

Dr. Jeannie CallumSunnybrook Health Sciences Centre

Dr. Christine Cserti-GazdewichUniversity Health Network

Dr. Keyvan KarkoutiUniversity Health Network

Dr. Wendy LauHospital for Sick Children

Dr. Lani LiebermanUniversity Health Network

Ms. Ana LimaSunnybrook Health Sciences Centre

Dr. Yulia LinSunnybrook Health Sciences Centre

Dr. Katerina PavenskiSt. Michael’s Hospital

Dr. Jacob PendergrastUniversity Health Network

Dr. Rita SelbySunnybrook Health Sciences Centre

Dr. Michelle SholzbergSt. Michael’s Hospital

Dr. Nadine ShehataMount Sinai Hospital

Dr. Robert SkeateCanadian Blood Services

Dr. Jordan TarshisSunnybrook Health Sciences Centre

Dr. Richard WardUniversity Health Network

faCUlty