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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Extrinsic and Intrinsic Pathways of Hemostasis01:20

Extrinsic and Intrinsic Pathways of Hemostasis

Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which forms a...
Disorders of Hemostasis01:24

Disorders of Hemostasis

Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Introduction to Hemostasis01:05

Introduction to Hemostasis

Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized, and...
Coagulation01:09

Coagulation

The coagulation phase is a critical part of the body's process to prevent blood loss following injury to blood vessels. It involves chemical reactions that form a clot to seal the injured area. The clotting process begins shortly after injury, within 15-20 seconds for severe damage and 1-2 minutes for minor injuries.
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

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Related Experiment Video

Updated: Jun 25, 2026

Tail Vein Transection Bleeding Model in Fully Anesthetized Hemophilia A Mice
08:13

Tail Vein Transection Bleeding Model in Fully Anesthetized Hemophilia A Mice

Published on: September 30, 2021

Traumatic bleeding at birth treated with Factor VII.

Kathryn A Browning Carmo1, Karen O'Brien, Juliana Teo

  • 1Grace Centre for Newborn Care, Children's Hospital at Westmead and University of Sydney, Australia. kathryc4@chw.edu.au

Journal of Paediatrics and Child Health
|February 12, 2009
PubMed
Summary

A traumatic delivery resulted in twins requiring intervention. Recombinant Factor VIIa successfully controlled severe bleeding in Twin 2, demonstrating its efficacy in obstetric emergencies.

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Determination of the Procoagulant Activity of Extracellular Vesicle (EV) Using EV-Activated Clotting Time (EV-ACT)
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Determination of the Procoagulant Activity of Extracellular Vesicle (EV) Using EV-Activated Clotting Time (EV-ACT)

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Last Updated: Jun 25, 2026

Tail Vein Transection Bleeding Model in Fully Anesthetized Hemophilia A Mice
08:13

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Published on: September 30, 2021

Determination of the Procoagulant Activity of Extracellular Vesicle (EV) Using EV-Activated Clotting Time (EV-ACT)
04:56

Determination of the Procoagulant Activity of Extracellular Vesicle (EV) Using EV-Activated Clotting Time (EV-ACT)

Published on: August 4, 2023

Area of Science:

  • Obstetrics and Gynecology
  • Hematology
  • Neonatal Medicine

Background:

  • Traumatic deliveries can lead to severe postpartum hemorrhage.
  • Hemostatic agents are crucial for managing life-threatening bleeding in neonates.
  • Recombinant activated Factor VII (rFVIIa) is a potential treatment for severe hemorrhage.

Observation:

  • A case of 36-week gestation twins born after a traumatic delivery is presented.
  • Twin 2 experienced profuse hemorrhage following birth.
  • Standard hemostatic measures were insufficient.

Findings:

  • Hemostasis was successfully achieved in Twin 2 using recombinant Factor VIIa (rFVIIa).
  • The administration of rFVIIa (NovoSeven) effectively controlled the severe bleeding.
  • This case highlights the successful application of rFVIIa in a neonatal obstetric complication.

Implications:

  • Recombinant Factor VIIa can be a life-saving option for severe neonatal hemorrhage post-traumatic delivery.
  • This case supports the consideration of rFVIIa in managing refractory obstetric bleeding in neonates.
  • Further research may explore the optimal use of rFVIIa in similar critical obstetric scenarios.