UMEM Educational Pearls

Category: Trauma

Title: Poster for hemorrhage control education

Posted: 12/11/2022 by Robert Flint, MD (Updated: 4/24/2024)
Click here to contact Robert Flint, MD

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 4^th 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

Cryopercipitate (10 units if fibrinogen low)

Scrub

Call OR

Hybrid Room

Call anesthesia

Call for Back up

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