Massive Haemorrhage

Question 1

what is a massive haemorrhage if defined by rate of blood loss?

Answer 1

blood loss of 150ml/min

Question 2

what is a minor obstetric haemorrhage?

Answer 2

500-1000mls

Question 3

what is a major obstetric haemorrhage?

Answer 3

> 1000mls

Question 4

what clinical situations suggest a massive haemorrhage?

Answer 4

bleeding causing HR >110 and/or systolic <90

bleeding causing use of emergency O- red cells

Question 5

what is the supportive management of a massive haemorrhage?

Answer 5

blood components

Question 6

what is the definitive management of a massive haemorrhage?

Answer 6

stop bleeding

Question 7

what should be done as soon as a massive haemorrhage is identified?

Answer 7

activate massive haemorrhage protocol

Question 8

what urgent blood samples should be sent in a massive haemorrhage?

Answer 8

FBC
coag screen 
fibrinogen 
crossmatch 
U+E
calcium

Question 9

what blood is provided when the massive haemorrhage protocol is activated?

Answer 9

4 units red cells
4 units FFP
1 unit platelets