Post-partum Haemorrhage (PPH)

🔑 Key Priorities

  • Identify cause (4 Ts)

  • Replace blood and support perfusion

  • Expedite surgical or radiologic control

🧠 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

🧭 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

🔄 Ideal Crisis Flow

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

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