UMEM Educational Pearls

TACTICS

Transfusion

         1:1:1

         Whole Blood O+

         Activate mass transfusion

         TXA

         TEG

 

Adjuncts

         Arterial Line

         Antibiotics( 2 grams cefazolin with first blood product, redoes 1 gram every 4th product)

 

Calcium

         Treat hypocalcemia with CaCl2 (1 gram after every fourth product)

         Check ionized calcium after second dose of calcium

 

Temperature

         Increase room tem to 80 F

         Warm blankets

         Warm blood products

 

IV Access

         Peripheral x2

         I/O

         Central Line

 

Consider

         Hemostatic gauze

         Tourniquet

         Pelvic Binder

         Reboa

         IR

         Cryopercipitate (10 units if fibrinogen low)

 

Scrub

         Call OR

         Hybrid Room

         Call anesthesia

 

         Call for Back up

References

Due to technical error, the poster did not come through with the pearl. Here is Harford Health's escellent poster