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Massive Hemorrhage: The emergency medicine approach

In this video, I review the emergency medicine approach to massive hemorrhage and massive transfusion. Everything an emergency clinician needs to know. From balanced transfusion ratios to fibrinogen, you’ll learn how to effectively manage your sickest patients. First10EM is a free open access medical education (FOAMed) platform dedicated to high quality education focused on resuscitation and evidence based medicine. The 6 steps in any massive hemorrhage are: 1Stop the bleeding 2 Start with uncrossed blood 3 Activate the massive hemorrhage protocol (and don’t forget calcium and fibrinogen) 4 Prevent ongoing bleeding 5 High quality supportive care 6 Have an end point Want more? Check out the main post on First10EM: https://first10em.com/massive-hemorrh... The EBM deep dive on massive hemorrhage: https://first10em.com/massive-hemorrh... The evidence for TXA: https://first10em.com/does-txa-work-f... Website: https://first10em.com/ Resuscitation: http://resus.first10em.com/ Evidence based medicine: https://ebm.first10em.com/ Twitter: @First10EM   / first10em   Facebook:   / first10em   Instagram:   / first10em   Bluesky: @first10em.bsky.social https://bsky.app/profile/first10em.bs... Timestamps: 00:00 Intro 01:00 The emergency medicine approach 01:35 Step 1 - stop the bleeding 02:10 Step 2 - Start with uncrossed blood 03:15 The critical administration threshold 04:35 Step 3 - Activate the massive hemorrhage protocol 05:40 Move on the lab driven therapy 06:55 Don't forget calcium and fibrinogen 07:20 Step 4 - Prevent ongoing blood loss 07:55 Step 5 - Good supportive care 08:25 Step 6 - Have an end point 9:00 Summary #resuscitation #emergencymedicine #FOAMed #massivehemorrhage #trauma #medicine #First10EM First10EM is devoted to free, open access medical education, aimed at medical professionals. The website does not provide specific medical advice. I may be a physician, but I am not your physician. If you are a medical professional, the information should be used like any other you encounter: think critically, consider other sources of information, and ensure that you understand how the information presented here fits with your own skills, work environment, and resources. Full disclaimer: https://first10em.com/disclaimer/ I have never accepted money from any drug or device company. I have no financial conflicts of interest in any information I present. Thank you for watching! 🙂