This week’s CGD will focus on the exsanguinating patient, covering topics such as tamponade of massive haemorrhage and correction of coagulopathy.

Scheduled sessions include:

• Winched From The Top – An audit of our recent winch rescues
• Tic Tactics – A review of trauma-induced coagulopathy
• Plugging The Gaps – Extra-ordinary techniques for controlling bleeding, e.g. REBOA
• Blood From The Floor – Difficult haemostasis cases… What would you do?
• Haemostasis Workshops – Hands-on practical covering techniques such as tourniquet application, facial packing and epistaxis control

The programme is presented below:

As part of our ongoing “flipped classroom” model, we invite all attendees to check out the following pre-reading prior to attendance:

1. Peruse the 2013 European guidelines on management of Acute Traumatic Coagulopathy http://ccforum.com/content/17/2/R76. Its a scarily big document but the important recommendations are in bold.

2. Learn about REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) from Scott Weingart over at EMCrit http://emcrit.org/podcasts/reboa/

 3. Foley catheter technique for exsanguinating vascular injury. This is a popular technique with South African trauma surgeons. Learn how to do it here http://resus.me/simple-emergency-haemorrhage-control and here http://regionstraumapro.com/post/1087649383

 4. Sengstaken-Blakemore / Minnesota tube for massive variceal haemorrhage. Watch Scott Weingart’s video on how to do it here: http://emcrit.org/procedures/blakemore-tube-placement with notes by Chris Nickson here: http://lifeinthefastlane.com/education/ccc/senkstaken-blackmore-and-minnesota-tubes/

5. Read the 2013 Warfarin Reversal Guidelines from the Australian Society of Haemostasis and Thrombosis https://www.mja.com.au/journal/2013/198/4/update-consensus-guidelines-warfarin-reversal

6. Remind yourself of our HOPs on traumatic haemorrhage control https://nswhems.files.wordpress.com/2011/09/c19-traumatic-haemorrhage-control1.pdf and blood management https://nswhems.files.wordpress.com/2013/12/c-11-blood-management-vrs-2-april-2013.pdf

7. Finally, a graphic display of traumatic amputation from the Monty Python team is available here: https://www.youtube.com/watch?v=2eMkth8FWno

Looking forward to seeing you there!

All NSW Health staff welcome. Sign in required. See here for directions.