Thank you for everyone’s ongoing input. Our patient is more haemodynamically stable but continues to have ongoing bleeding. She is now receiving group specific/compatible blood products. She has currently received:
- 6 units packed red cells.
- 6 units FFP
- 1g tranexamic acid with a further 1g TXA being infused
A repeat FBC / coagulation screen is in progress. Her latest TEG is below (dotted line is normal TEG for comparison).
R time: 8min (4-8min), K time: 5min (1-4min), a-angle: 30 (47-74), MA: 35 (55-73mm)
- What blood products would you give based on the TEG?
- Based on the traditional FBC / coagulation screen what values would you be aiming for? e.g PT/APTT/fibrinogen/platelets greater than ?
Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.
Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.
TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.