EM Cases · Massive haemorrhage and transfusion
Exsanguinating trauma — MTP resus station
ACEM Fellowship resus station on damage-control resuscitation, MTP activation, TXA timing, lethal triad prevention, and source control in parallel.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A 28-year-old motorcyclist arrives with BP 72/40 after a high-speed crash. There is a deformed pelvis, a tense abdomen, and ongoing external bleeding from an open femoral fracture. Lead the massive haemorrhage resuscitation.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References2ShowHide
- [1]Shakur H, Roberts I, Bautista R, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2). Lancet, 2010.PMID 20554319
- [2]Holcomb JB, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio (PROPPR). JAMA, 2015.PMID 25647203