Major Haemorrhage Protocol 2222 Flashcards
(12 cards)
1
Q
What is classified at a massive haemorrhage?
A
- loss of one blood volume in 24 hours
- loss of 50% circulating volume in 3 hours
- loss of 150ml/min
2
Q
How to estimate circulating blood volume?
A
Women: 60-70ml per kg
Men: 65-76ml per kg
3
Q
How soon is O- blood available?
A
Immediately
4
Q
How long does group specific blood take to be available? (ABO + RhD)
A
15 mins
5
Q
How long does it take for fully cross matched blood to be available?
A
35 minutes
6
Q
How long does it take for fresh frozen plasma + cryoprecipitate to thaw?
A
Up to 20 mins
7
Q
General response to major haemorrhage protocol
A
- control bleeding - apply pressure
- venous access
- avoid hypothermia > warm fluids
- immediate bloods
- nominate on person to liaise with blood bank
8
Q
What immediate bloods are taken in major haemorrhage protocol?
A
- FBC
- cross match
- coagulation screen
- biochemistry incl Ca
- blood gases if appropriate
9
Q
Complications during massive haemorrhage
A
- hypothermia
- hyperkalamia
- acidosis
- hypocalcaemia
10
Q
Warfarin reversal in major haemorrhage -
A
- stop warfarin
- IV vitamin K
- Human Prothrombin Complex
- Fresh Frozen Plasma if HPC not available
11
Q
How long does it take for IV vitamin K to work?
A
4-6 hours
12
Q
How long does it take for oral vitamin K to work?
A
24 hours
