RT Book, Section A1 McCreight, Audra L. A1 Wickiser, Jonathan E. A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105686020 T1 Bleeding Disorders T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105686020 RD 2024/03/29 AB Aggressive treatment of hemophilia patients with head trauma is imperative as signs and symptoms of intracranial bleeding may be delayed. Even though initial imaging studies may be normal, factor replacement is indicated and careful monitoring of the patient is crucial to detect subtle changes in mental status.Patients with hemophilia and inhibitors remain challenging management cases and are best cared for in conjunction with a hematologist.Treatment of bleeding episodes in von Willebrand patients may include desmopressin (DDAVP), cryoprecipitate, or factor VIII concentrates rich in von Willebrand factor (vWf).Treatment options for ITP are based on the clinical severity of bleeding. Consultation with a hematologist is indicated for patients with bleeding complications or platelet counts <20,000.