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Massive haemorrhage toolkit

This second version of the toolkit was produced by the guidelines group of the North West Regional Transfusion Committee incorporating North Wales. The group will reconvene if further high quality evidence becomes available and will review the toolkit in January 2013.

Massive haemorrhage toolkit (Word doc 1.33MB)
for hospital transfusion teams and committees

The following management flow charts taken from the toolkit can be adapted by Trusts to meet their individual requirements and local constraints.

They are aimed at:

  • junior doctors and senior nurses who may be the first people to see the patient and must be able to recognise the early stages of major haemorrhage and know when and who to call for support
  • senior staff called as part of the emergency response team
  • laboratory and supporting staff.

Flow chart outlining management of massive haemorrhage in adults (PowerPoint 336KB)

Flow chart outlining management of massive haemorrhage in children (PowerPoint 356KB)

Flow chart outlining laboratory management of massive haemorrhage (PowerPoint 120KB)

Seven steps for successful coordination in massive haemorrhage (Word 36KB)

Massive haemorrhage transfusion laboratory checklist (Word 116KB)

The implementation of the toolkit and management of massive haemorrhage will be monitored using this audit proforma and spreadsheet:

North West audit of massive haemorrhage data collection proforma (Word 40KB)
North West audit of massive haemorrhage spreadsheet (60KB)
Guidance on completing the spreadsheet (pdf 12KB)

Massive haemorrhage regional audit results Dec 2011 - Feb 2012 (pdf 1.97MB)

The development of a regional guideline for management of massive haemorrhage (pdf 1.35MB)
Presentation to BBTS Conference, September 2010 by Kate Pendry, Consultant Haematologist NHSBT, and Central Manchester Hospitals NHS Foundation Trust.

For further information please contact Kate Pendry, Consultant Haematologist or Jane Murphy, RTC Administrator. Copies of the minutes of meetings, presentations, consultations and workshop programmes held during development of the toolkit can also be obtained from Jane.