by Richard D. Pinson, MD, FACP, CCS
Q: Can patients with intracranial bleeding from such things as intracerebral hemorrhage, subdural hematoma and subarachnoid hemorrhage develop acute blood loss anemia? Or, do you think it’s mostly hemodilution, especially if fluids are given including hypertonic saline?
A: One really can’t lose enough blood inside the confined space of the cranium to develop genuine acute blood loss anemia. 3% hypertonic saline causes substantial hemodilution creating the false impression of blood loss anemia.
The Pinson & Tang CDI Pocket Guide provides specific standardized query templates for the most common medical conditions as well as instruction on how to modify the template to fit the particular circumstances of the case in question.
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About the Author
Dr. Richard Pinson, MD, FACP, CCS
Dr. Richard Pinson is a physician, educator, administrator, and healthcare consultant. He practiced Internal Medicine and Emergency Medicine in Tennessee for over 20 years having board certification in both. Dr. Pinson is a Fellow of the American College of Physicians and former Assistant Professor of Clinical Medicine at Vanderbilt, and has assisted hospitals as a physician consultant for the past ten years. Dr. Pinson’s personal understanding of the mindset of both doctors and managers allows him a unique vantage point from which to promote cooperation between physicians, hospital staff, and administrators toward achieving beneficial and practical changes.