acute bleeding classifications

related: Hemeonc
tags: #hemeonc

Use heart rate and urine output as initial assessment of volume loss. Patients with tachycardia and decreased urine output have at least 30% blood loss and are labelled as Class III or IV acute hemorrhage. They may have confusion and decreased pulse pressure. Consider replace with blood products besides volume expansion.

transfusing chronical anemic patients to hemoglobin goal can cause worsening symptoms or even death

dilutional coagulopathy can be caused by giving just crystalloids in class 3 and 4

acute bleeding classifications

Hemeonc

MKSAP

transfusing chronical anemic patients to hemoglobin goal can cause worsening symptoms or even death

A patient may have low hemoglobin from slow bleed but be euvolemic and hemodynamically compensated. Transfusing this patient to goal of hemoglobin 7 in acute setting may cause volume overload. A better strategy is to assess if the patient is bleeding or not first. If there's no