Major Bleeding in the ED

Welcome to our 10th podcast and this episode is all about major bleeding in the ED and we touch on massive transfusion. I asked the nursing team in my ED what they wanted us to talk about next and this was one of the requests. I have also written a blog to accompany this podcast which may expand on some of the things we touch on in this podcast. 

As always it is super important that you go back to your local policies and procedures, and also have a read of some of the associated papers below that can definitely explain some of these things a lot better than liz and I. 

Main things for you to go away and have a look at, how can you recognise a patient is bleeding in your current role? Who do you need to tell and what are your immediate actions. 

This links to your RCN Emergency Nursing Framework 

CD2 - 2.4- The Shocked Patient

CD1 4.1.2- Recognising patients with GI bleed

Some awesome links to some very awesome people from the resus room and St Emlyns' for more study if now you have the bleeding bug!! And the sentinel paper on the use of calcium in massive transfusion based on some experience from the military. 

https://www.theresusroom.co.uk/shock-in-trauma/

https://www.theresusroom.co.uk/external-haemorrhage/

www.ausmed.co.uk/cpd/articles/massive-blood-transfusion 

www.emj.bmj.com/content/35/3/176 

www.stemlynsblog.org/hypocalcaemia-trauma-and-major-transfusion-st-emlyns/ 

Why not try using the new CPD recording form that you can find on the website this week to record your learning.