
Massive Hemorrhage
Authored by nico nieto
Specialty
Professional Development
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10 questions
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1.
MULTIPLE CHOICE QUESTION
3 mins • 1 pt
A 25-year old tricycle driver without co-morbidities presents in the operating room after a traumatic amputation below his right knee. Upon hooking to the cardiac monitor vitals were noted to be: BP 120/70, HR 100, RR 19, Temp 36.5C, O2sat at room air 97%. Norepinephrine was note to be hooked to patient. A torniquet is also observed to be applied to the right thigh. Unfortunately, there is ongoing blood loss, which is estimated to be 1,500ml. Patient is for control of bleeders. What urgency code is the patient currently in?
IV
III
II
I
2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
In correlation with situation in question #1 . What type of pRBCs are you permitted to transfuse?
Cross-matched identical
Uncross-matched identical
Uncross-matched compatible, non-identifical
All of the choices
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
During the surgery in the situation in question #1, bleeding was noted to be controlled. A point of care testing revealed values of Hgb: <6g/dl, PT-INR: <1.5 and Platelet count of >50,000/mm3. How should you go about the situation?
Transfuse 1:1:1 ratio of blood components then do repeat testing
Transfuse 1-2 units of pRBC then do repeat testing
Transfuse 6 units of WB-derived platelets and 2 units of FFP then do repeat testing
Transfuse 1-2 units of pRBC, 2 units of FFP and 1 apheresis unit of platelets then do repeat testing
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
When should platelets be transfused during massive hemorrhage?
When platelet count <100,000/mm3
When blood loss exceeds x 1.5 blood volume
When PT-INR > 2.0
In a 1:1:1 ratio with plasma and RBC
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
As the surgery went on with bleeding noted to be controlled at this point. a Point of care platelet count testing result indicated a count of 48,000/mm3. If you are going to transfuse platelet concentrates, what should your target values be?
>75,000/mm3
>100,000/mm3
150,000/mm3
>150,000/mm3
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
How much platelet concentrate should you transfuse with regards to the result obtained in question #5?
4 units of WB-derived platelets
8 units of WB-derived platelets
1 apheresis unit
2 apheresis unit
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
During the surgical event, you are noted to have transfused multiple number of packed RBCs. A point of care testing revealed: aPTT>1.5x the controlled value. How much FFP should you transfuse to the patient?
1-5 units
1-4 units
2-8 units
4-10 units
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