Post-partum Haemorrhage (PPH)

🔑 Key Priorities

• Identify cause (4 Ts)

• Replace blood and support perfusion

• Expedite surgical or radiologic control

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🧠 Team Actions

Role	Task
Team Leader	Call obstetrics, initiate MTP, coordinate team
Circulation	Insert large-bore access, run blood and TXA
Runner	Collect blood, liaise with transfusion lab

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🧭 Management Algorithm

1. Call for help, activate MTP

2. Identify cause: Tone, Tissue, Trauma, Thrombin

3. Give uterotonics: oxytocin, ergometrine, carboprost

4. Administer tranexamic acid 1g IV

5. Start blood products (target Plt > 75, fibrinogen > 2)

6. Warm patient, correct coagulopathy

7. Surgical intervention or embolisation if ongoing

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🔄 Ideal Crisis Flow

          Postpartum Haemorrhage
                  ↓
        Call for Help + Activate MTP
                  ↓
     Uterotonics + Tranexamic Acid + Fluids
                  ↓
        Blood Products + Identify Cause
                  ↓
       Surgical Control or Embolisation