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Fresh frozenplasma, or FFP, should only be given to cirrhotic patients as part of the massive transfusion protocol in cases of profound hypotension, as “patients with cirrhosis rarely have true enzymatic hypocoagulability, and FFP may worsen bleeding due to over-resuscitation and dilution of coagulation factors.” Acad Emerg Med.
doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergencydepartment after being hit by a car. Surprisingly, there are different definitions of paediatric major haemorrhage, with no single agreed-upon definition. Published Online First: 24 June 2024. What is major haemorrhage?
Figure 1: The Young-Burgess classification of pelvic ring fractures (source: [link] 3 It is paramount to differentiate the definitions of “hemodynamically unstable” and “mechanically unstable” pelvic fractures. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚
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