@BuntyStowe next up talking about major haemorrhage- blood and guts before lunch! #BSHTIP
Mechanism of injury in trauma often causes coagulopathy in itself, even before haemodilution, acidosis, hypocalcaemia and hypothermia - important to 'get ahead' with the clotting factors in trauma haemorrhage by giving up front FFP #BSHTIP
CRASH2 showed safety and efficacy of tranexamic acid in trauma patients #BSHTIP
Major haemorrhage protocols started in response to a NPSA rapid report highlighting the need for clinicians to be able to access blood quickly for actively bleeding patients. Every trust should have one - do you know yours? #BSHTIP
Critical to MHP function is communication. Are blood bank aware of the clinical situation? Does the team leader know how much blood is on its way? Does the porter know they need to go and get it? #BSHTIP
O neg red cells for women of childbearing potential and unknown blood group. O pos can be given to men or women over the age of 50 while the blood group is established #BSHTIP
Group A plasma available pre-thawed in many trusts now for faster provision of plasma in unanticipated major haemorrhage #BSHTIP
TEG/ROTEM increasingly used to guide product support in major haemorrhage (but I don't want to start another Twitter 'debate'!!) #BSHTIP
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