Blood Transfusion Guidelines

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Questions and Answers

What is the minimum recommended time for monitoring and lab capability before removing a tourniquet that has been in place for more than 6 hours?

Close monitoring and lab capability are available.

How should tourniquets be marked according to TCCC guidelines?

With a permanent marker on the tourniquet and the casualty card.

What are the signs of hemorrhagic shock that should be assessed in a casualty?

Altered mental status in the absence of brain injury and/or weak or absent radial pulse.

When is IV or IO access indicated in a casualty?

<p>If the casualty is in hemorrhagic shock or at significant risk of shock, or needs medications but cannot take them by mouth.</p> Signup and view all the answers

What is the preferred gauge for IV access in a casualty?

<p>18-gauge.</p> Signup and view all the answers

When should tranexamic acid (TXA) be administered to a casualty?

<p>If the casualty will likely need a blood transfusion or has signs or symptoms of significant TBI or altered mental status associated with blast injury or blunt trauma.</p> Signup and view all the answers

What is the recommended dose and administration method for tranexamic acid (TXA) in a casualty?

<p>2 gm of TXA via slow IV or IO push as soon as possible but not later than 3 hours after injury.</p> Signup and view all the answers

Why is it important to monitor a casualty for hemorrhagic shock?

<p>To identify and treat shock promptly and prevent further deterioration.</p> Signup and view all the answers

What is the purpose of marking tourniquets and casualty cards?

<p>To track application, reapplication, conversion, and removal times.</p> Signup and view all the answers

When should a casualty be assessed for hemorrhagic shock?

<p>After observing altered mental status in the absence of brain injury and/or weak or absent radial pulse.</p> Signup and view all the answers

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