Major Haemorrhage Flashcards
1
Q
Defintion:
A
Loss of more than one blood volume within 24hours (70ml/kg = >5 litres in 70kg adult)
50% of total blood volume lost in less than 3 hours
Bleeding in excess of 150ml/minute
2
Q
What are some signs of haemorrhage?
A
Obvious blood loss Low systolic bP Tachycardia Hypovolaemic shock Fall in Hb
3
Q
What should be followed to treat this systematically?
A
The major haemorrhage protocol
4
Q
SEE BLOOD TRANSFUSIONS IN HAEMOTOLOGY
A
SEE BLOOD TRANSFUSIONS IN HAEMOTOLOGY
5
Q
What could cause a major haemorrhage?
A
Major trauma PPH Intraoperatively Ruptured AAA GI bleed
6
Q
What bloods need to be done?
What type of blood needs to transfused first?
A
FBC
Group and save
Clotting
O negative blood - usually FFP + RBC together
