Haemostatic Resuscitation

Resuscitation in trauma is aimed at the replacement of volume and attention to the correction of coagulopathy. After the primary survey, an assessment is formulated to help determine if there is ongoing blood loss, or if the haemorrhage has now ceased but the patient still requires volume replacement.

This may be achieved in various ways across each location due to the resources available, the process for blood acquisition and storage, blood product delivery and patient need. The use of blood to expand the circulating volume after a haemorrhage should be in conjunction with adjuncts to improve the coagulation deficit to avoid inadvertent dilution due to only red cell replacement.

Training resource kits

Each kit is a collection of tools and resources to guide the effective delivery of a trauma education event. The kits are designed for use in any Queensland Health facility and can be modified by the facilitator to the needs of the learner, as well as the environment in which the education is being delivered.

Procedural skill

VHA application in trauma care

This resource kit provides clinical staff the opportunity to practise the application and interpretation of a Viscoelastic haemostatic assay (VHA) trace (ROTEM) for the management of the bleeding trauma patient.

Duration: 30 minutes

Target Audience: Medical, nursing, and pathology clinicians

Blood administration in trauma

This resource kit provides an opportunity to discuss and practice the preparation for delivery of haemostatic resuscitation.

Duration: 30-40 minutes

Target Audience: Emergency department medical and nursing clinicians

Case discussion

Use of viscoelastic haemostatic assays (VHA)

This resource kit provides clinical staff the opportunity to practise the application and interpretation of a Viscoelastic haemostatic assay (VHA) trace (ROTEM) for the management of the bleeding trauma patient.

Duration: 30 minutes

Target Audience: Medical, nursing, and pathology clinicians

Delivery of massive transfusion

This resource kit provides the learner with the knowledge in the management of a patient who requires haemostatic resuscitation.

Duration: 30 minutes

Target Audience: Medical, nursing, and allied health clinicians

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