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Nonsurgical management of major hemorrhage
Jeannie Callum, Christopher C.D. Evans, Alan Barkun and Keyvan Karkouti
CMAJ June 05, 2023 195 (22) E773-E781; DOI: https://doi.org/10.1503/cmaj.221731
Jeannie Callum
Department of Pathology and Molecular Medicine (Callum), Kingston Health Sciences Centre and Queen’s University; Department of Emergency Medicine and Division of Trauma (Evans), Kingston Health Sciences Centre, Kingston, Ont.; Department of Medicine, McGill University and the McGill University Health Center (Barkun), Montréal, Que.; Department of Anesthesia and Pain Management (Karkouti), Toronto General Hospital and the University of Toronto, Toronto, Ont.
MDChristopher C.D. Evans
Department of Pathology and Molecular Medicine (Callum), Kingston Health Sciences Centre and Queen’s University; Department of Emergency Medicine and Division of Trauma (Evans), Kingston Health Sciences Centre, Kingston, Ont.; Department of Medicine, McGill University and the McGill University Health Center (Barkun), Montréal, Que.; Department of Anesthesia and Pain Management (Karkouti), Toronto General Hospital and the University of Toronto, Toronto, Ont.
MD MScAlan Barkun
Department of Pathology and Molecular Medicine (Callum), Kingston Health Sciences Centre and Queen’s University; Department of Emergency Medicine and Division of Trauma (Evans), Kingston Health Sciences Centre, Kingston, Ont.; Department of Medicine, McGill University and the McGill University Health Center (Barkun), Montréal, Que.; Department of Anesthesia and Pain Management (Karkouti), Toronto General Hospital and the University of Toronto, Toronto, Ont.
MDCM MScKeyvan Karkouti
Department of Pathology and Molecular Medicine (Callum), Kingston Health Sciences Centre and Queen’s University; Department of Emergency Medicine and Division of Trauma (Evans), Kingston Health Sciences Centre, Kingston, Ont.; Department of Medicine, McGill University and the McGill University Health Center (Barkun), Montréal, Que.; Department of Anesthesia and Pain Management (Karkouti), Toronto General Hospital and the University of Toronto, Toronto, Ont.
MD MSc
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Nonsurgical management of major hemorrhage
Jeannie Callum, Christopher C.D. Evans, Alan Barkun, Keyvan Karkouti
CMAJ Jun 2023, 195 (22) E773-E781; DOI: 10.1503/cmaj.221731
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- Article
- What is a massive hemorrhage protocol?
- When should a massive hemorrhage protocol be activated?
- Who should receive tranexamic acid?
- What blood products, if any, should be transfused before laboratory results are available?
- What monitoring should be undertaken to ensure appropriate targets are met?
- When should fibrinogen concentrate or prothrombin complex concentrate be given?
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