Case 120 – Update 4!

Well done team – with your input I’m pleased to say she has now stabilised and has stopped bleeding!!! To achieve this she has been transfused:

  1. 8 units red blood cells
  2. 8 units FFP
  3. 1 pool of platelets
  4. 2 pools cryoprecipitate

She undergoes surgery to stabilise her pelvis and is likely to be an inpatient for some time whilst she undergoes rehabilitation.

Questions:

  1. Now she is stable what would be the threshold to transfuse red blood cells? What her Hb target?
  2. What methods would you use to reduce her risk of thromboembolism?
  3. How would you ensure your hospital is managing major haemorrhages appropriately?

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