Thank you...was wondering how one could have massive clotting and yet bleeding at the same time. This explained the physiology perfectly in a quick concise way. It lets me know what to look for in labs because I UNDERSTAND it, not just memorizing the values.
I'm a Medical Lab Scientist at the Seattle Children's Hospital. I found this video clip is very useful. At our Lab, we quite often have samples from patients who diagnosed with DIC, we always look at the patient's charts to learn more about the diagnosis and ongoing treatments before reporting results. Now, I have better idea why different blood products were used on different patients. Thank you!
thank you for this video. I am a nursing student in my critical care rotation and this was a very clear, to the point explanation, better than my professor ;-)
I'm a small town OB nurse who hopes never to see DIC but am petrified that it could happen. Your explanation doesn't make me like DIC any better but at least I understand the disease process now. Thank you!
Im a veterinarian from India...doing my research in canine babesiosis and ehrlichiosis complicated with DIC. Ive studied FDP stands for Fibrin degenration product of which d dimer is most helpful. The video was still very helpful. Thank you.
FDP - Fibrinogen Degradation Products or Fibrin Degradation Products? Isn't FDP is a test done to see whether your clot-dissolving (fibrinolytic) system is working properly or not?
Reference to 9:08 I believe you misspoke about abnormal PT values. I believe you meant to say, "if your PT is PROLONGED by less than 3 seconds", "if your PT is PROLONGED by 3 to 6 seconds" and "if your PT is PROLONGED by more than 6 seconds". Keep in mind that normal values of PT are between 11 - 14. In the way you presented, you suggest that normal PT is around 3 seconds, which is not true. Otherwise, great video!
I am interested in how long it takes to go from having an infection to full blown hemorrhagic DIC? Also what type of trauma are they referring to? And if a patient has a trauma how long after the trauma is DIC most likely to occur?
1. Why does the ISTH scoring system utilize PT over PTT? 2. Considering DIC is associated with a massive activation of clotting factors, followed by a residual deficit in these factors (leading to an increased risk of bleeding), would it be fair to state that PT would be below normal limits during the initial onset of DIC and THEN drastically increase? Any insight would be appreciated. Cheers.
+Kishan Aundhia PT is a more reliable test since values in PTT may some times give a false negative. so its unreliable. 50-60percent patients may have prolonged values
+Ahmed karim I mean no offense but are you sure your not getting his presentation of the material has nothing to do with a problem you may have with English language or not considering the diversity of English accents? Just a thought though. Cheers.
