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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071477/
Mar 30, 2011 · The major problems underlying major incident medical management at the scene of an accident are reported to be a failure in communication as well as hesitation to declare an emergency. To rapidly deal with critical bleeding in the operating room, effective communication among responsible staff is mandatory, especially between anesthesiologists and surgeons, between operating rooms and …Cited by: 7
https://emergencymedicinecases.com/intracerebral-hemorrhage-golden-hour/
This is EM Cases Episode 104 – Emergency Management of Intracerebral Hemorrhage – The Golden Hour with Scott Weingart and Walter Himmel.With special guest appearances by Rob Simard and Peter Brindley.. There exists a kind of self-fulfilling prognostic pessimism when it comes to ICH.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1290675/
Over a 4-year period 107 patients, 5% of all emergency admissions, were admitted to one surgical unit with significant lower gastrointestinal haemorrhage (requiring more than a 2-unit transfusion of blood). Twenty-three individuals required more than 3 units of blood, and 7 life-saving surgery.Cited by: 89
http://nitransfusion.com/hsc_sqsd_16_10_the_transfusion_of_blood_and_blood_components_in_an_emergency.pdf
clinical settings including acute medical settings as well as trauma, surgical and obstetrics. This is a challenge for front line clinicians as well as for those providing haematology and transfusion support within the hospital. In order to prevent hypovolaemic shock and …
https://www.acog.org/-/media/Districts/District-II/Public/SMI/v2/HEMSlideSetNov2015.pdf?dmc=1
• Have a functioning Emergency Release Protocol (a minimum of 4 units of O-negative/uncrossmatched RBCs)* • Have the ability to obtain 6 units PRBCs and 4 units FFP (compatible or type specific) for a bleeding patient • Have a mechanism in place to obtain platelets and additional products in a …
https://www.transfusionguidelines.org/document-library/documents/massive-haemorrhage-toolkit/download-file/rtc
A surgical opinion should be obtained if there is lower gastrointestinal haemorrhage, or if there is a likelihood of persistent or recurrent bleeding. In the post-endoscopy situation, surgical referral should take place if there are complications stemming from endoscopic therapy or if endoscopic therapy is unlikely to be successful.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1705097/
Jan 01, 1981 · The aim of the emergency management of bleeding varices is to stop the hemorrhage nonoperatively if possible, avoiding emergency shunt surgery, an operation that has a higher mortality than elective shunt surgery. Patients with an upper gastrointestinal hemorrhage should undergo endoscopy immediately to verify the diagnosis of bleeding varices.Cited by: 4
https://wjes.biomedcentral.com/articles/10.1186/1749-7922-4-43
Nov 25, 2009 · Postpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a paucity of exposure and information available to surgeons regarding this topic: obstetric training is rarely found in contemporary surgical residency curricula and …Cited by: 16
https://www.jognn.org/article/S0884-2175(15)35317-X/fulltext
Sixty-seven RNs are employed on this unit; the majority have bachelor’s degrees and at least 6 months of experience in labor, delivery, or NICU. The current practice in women’s services nationwide does not include nurse training in Advanced Cardiac Life Support (ACLS) with emergency drills and mock codes.Cited by: 9
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887168/
Apr 06, 2010 · Appropriate management of the trauma patient with massive bleeding, defined here as the loss of one blood volume within 24 hours or the loss of 0.5 blood volumes within 3 hours, includes the early identification of potential bleeding sources followed by prompt measures to minimise blood loss, restore tissue perfusion and achieve haemodynamic stability.Cited by: 873
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