In severe uncontrolled bleeding the approach appears to reflect what we do in adult trauma care.
- a. Give minimal blood products to maintain perfusion until surgical (or presumably interventional radiology?) intervention
- b. 10ml/Kg boluses of blood products and monitor response closely.
- c. Optimal ratios of blood products (presumably 1:1:1) to prevent coagulopathy.
- d. Use Tranexamic Acid (15mg/Kg is the initial dose).TXA in children guideline
- e. Use pelvic splints/tourniquets where indicated.
No comments:
Post a Comment