Title: Poster for hemorrhage control education<br/>Author: Robert Flint<br/><a href='http://umem.org/profiles/faculty/2561/'>[Click to email author]</a><hr/><p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">TACTICS</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">Transfusion</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> 1:1:1</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Whole Blood O+</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Activate mass transfusion</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> TXA</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> TEG</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">Adjuncts</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Arterial Line</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Antibiotics( 2 grams cefazolin with first blood product, redoes 1 gram every 4<sup>th</sup> product)</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">Calcium</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Treat hypocalcemia with CaCl2 (1 gram after every fourth product)</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Check ionized calcium after second dose of calcium</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">Temperature</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Increase room tem to 80 F</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Warm blankets</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Warm blood products</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">IV Access</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Peripheral x2</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> I/O</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Central Line</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">Consider</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Hemostatic gauze</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Tourniquet</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Pelvic Binder</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Reboa</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> IR</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Cryopercipitate (10 units if fibrinogen low)</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;">Scrub</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Call OR</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Hybrid Room</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Call anesthesia</span></span></p> <p> </p> <p> <span style="font-size:14px;"><span style="font-family:tahoma,geneva,sans-serif;"> Call for Back up</span></span></p> <fieldset><legend>References</legend>
<p> Due to technical error, the poster did not come through with the pearl. Here is Harford Health's escellent poster </p> </fieldset>