Transfusion Protocol and Traumatic Bleeding
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Questions and Answers

Which gauge catheter is recommended for control of severe traumatic bleeding?

  • 14-gauge x2
  • 20-gauge x2
  • 16-gauge x2
  • 18-gauge or 20-gauge x2 (correct)

    • Which location is preferred for intraosseous (IO) access in control of severe traumatic bleeding?

  • Humeral (correct)
  • Femoral
  • Tibial
  • Radial

    • Which of the following medical conditions can contribute to the mechanism of injury?

  • Asthma
  • Diabetes
  • Hypertension
  • None of the above (correct)

    • Which of the following medications are classified as blood thinners or anticoagulants?

    <p>Coumadin</p> Signup and view all the answers

    Which of the following medications may not allow heart rate to increase appropriately?

    <p>Beta Blockers</p> Signup and view all the answers

    What is the recommended protocol for massive bleeding control?

    <p>MARCHES Protocol</p> Signup and view all the answers

    What should be used to cover eye injuries?

    <p>Rigid shield</p> Signup and view all the answers

    In which patients should spinal motion restriction be applied if indicated?

    <p>Patients with head injuries</p> Signup and view all the answers

    What is a relative contraindication for the Transfusion Protocol in medical or trauma patients?

    <p>Age &lt; 5 years old</p> Signup and view all the answers

    Which of the following is a criteria for administering Whole Blood to a Adult Patient?

    <p>Systolic Blood Pressure &lt; 70 mmHg</p> Signup and view all the answers

    When should Low Titer Liquid Plasma be given as a substitute for Whole Blood?

    <p>When Whole Blood is not available</p> Signup and view all the answers

    One Unit of whole blood is how many mL?

    <p>500mL</p> Signup and view all the answers

    What is the recommended dosage of Whole Blood for a pediatric patient before puberty?

    <p>10ml/kg</p> Signup and view all the answers

    How long is the shelf life of LTOWB (Low titer Group O Whole Blood)?

    <p>21 days</p> Signup and view all the answers

    What should be done if the temperature of the blood product refrigerator is below or above the normal range?

    <p>Both A &amp; C</p> Signup and view all the answers

    How often should the blood product refrigerator temperature be checked?

    <p>Every 12 hours</p> Signup and view all the answers

    What is the routine time for blood products in the cooler?

    <p>12 hours</p> Signup and view all the answers

    What should be done when the blood products are used?

    <p>Both B &amp; C</p> Signup and view all the answers

    Where should the blood log receipt and paperwork be scanned and emailed?

    <p><a href="mailto:[email protected]">[email protected]</a></p> Signup and view all the answers

    According to the text, what should be done if a product is discovered out of temperature range?

    <p>Notify the EMS Chief and generate an incident report.</p> Signup and view all the answers

    What should be done if a patient or family refuses to accept blood products due to religious reasons?

    <p>Follow EMS protocol and document the refusal in the EPCR.</p> Signup and view all the answers

    What's the first action that should be done if an adverse reaction occurs during a blood transfusion?

    <p>Immediately stop, maintain alternate fluids, and follow appropriate protocol.</p> Signup and view all the answers

    What should be done if the storage window is getting close and the supervisor cannot make it back to the office to exchange blood products?

    <p>Contact the EMS Chief to arrange the swap.</p> Signup and view all the answers

    What type of documentation is required for EPCR administration in the flow chart section?

    <p>Blood type, titer, and volume.</p> Signup and view all the answers

    What should be done if a transfusion reaction occurs during a blood transfusion?

    <p>All of the Above</p> Signup and view all the answers

    Initially What should be done if a product is out past the maximum time of 24 hours?

    <p>Monitor the temperature and request immediate exchange of blood products if necessary.</p> Signup and view all the answers

    What should be done if the blood products are no longer needed and need to be returned to the blood bank?

    <p>Package them up in appropriate material and return them with all tubing to the blood bank.</p> Signup and view all the answers

    What should be done if the narrative section of the EPCR requires documentation of the reason for blood and the products used?

    <p>reason for blood, what products where used, Patients Temperature Before, During and After administration, response to blood products, Qin Flow warmer was used, any adverse reactions, patient or family consulted about blood products and if medical director contact was made.</p> Signup and view all the answers

    Which type of injury can contribute to severe traumatic bleeding?

    <p>Both blunt and penetrating</p> Signup and view all the answers

    Which of the following medications may not allow heart rate to increase appropriately?

    <p>A &amp; C</p> Signup and view all the answers

    What is a relative contraindication for the Transfusion Protocol in medical or trauma patients?

    <p>Patient &lt; 5 years old</p> Signup and view all the answers

    Which location is preferred for intraosseous (IO) access in control of severe traumatic bleeding?

    <p>Humeral</p> Signup and view all the answers

    What should be done if a patient or family refuses to accept blood products due to religious reasons?

    <p>Consult On Call Medical Director</p> Signup and view all the answers

    What should be done if a transfusion reaction occurs during a blood transfusion?

    <p>Stop the transfusion immediately</p> Signup and view all the answers

    When should Low Titer Liquid Plasma be given as a substitute for Whole Blood?

    <p>When Whole Blood is not available</p> Signup and view all the answers

    What is the recommended protocol for massive bleeding control?

    <p>All of the above</p> Signup and view all the answers

    What are the two mechanisms of injury that can contribute to severe traumatic bleeding?

    <p>Blunt and penetrating</p> Signup and view all the answers

    Which of the following is a criteria for administering Whole Blood to a pediatric patient?

    <p>Witnessed traumatic arrest &lt; 5 min prior to provider arrival and continuous CPR throughout downtime</p> Signup and view all the answers

    What is the recommended dosage of Whole Blood for a pediatric patient before puberty?

    <p>10 mL/kg</p> Signup and view all the answers

    What should be done if the temperature of the blood product refrigerator is below or above the normal range?

    <p>Remove the units and place in the station blood cooler then Contact EMS Chief for storage options</p> Signup and view all the answers

    Where should the blood log receipt and paperwork be scanned and emailed?

    <p>H Drive &amp; <a href="mailto:[email protected]">[email protected]</a></p> Signup and view all the answers

    What is the recommended initial dosage of Whole Blood for an adult patient?

    <p>1 unit</p> Signup and view all the answers

    Which of the following actions should be taken if a transfusion reaction occurs during a blood transfusion?

    <p>Immediately stop the transfusion and maintain alternate fluids</p> Signup and view all the answers

    What should be done if a product is discovered to be out of temperature range?

    <p>Notify the EMS Chief and generate an incident report</p> Signup and view all the answers

    Which of the following is a requirement for documenting EPCR administration in the flow chart section?

    <p>Indicate the type, titer, and volume of blood</p> Signup and view all the answers

    What action should be taken if the storage window is getting close and the supervisor cannot make it back to the office to exchange blood products and the EMS Chief is unavailable?

    <p>Request an EMS crew to do the exchange</p> Signup and view all the answers

    Which of the following is a requirement for documenting a religious refusal of blood products in the EPCR?

    <p>Follow EMS protocol and document the refusal</p> Signup and view all the answers

    What should be done if a product is out past the maximum time of 24 hours?

    <p>Monitor the temperature and alert the blood bank if necessary</p> Signup and view all the answers

    What action should be taken if any product is discovered to be out of temperature range?

    <p>Notify the EMS Chief and generate an incident report</p> Signup and view all the answers

    What should be done if a transfusion reaction occurs during a blood transfusion?

    <p>Immediately stop the transfusion and maintain alternate fluids</p> Signup and view all the answers

    Which of the following is an indication for administering Whole Blood to a patient with acute hemorrhagic shock?

    <p>Systolic Blood Pressure &lt; 70 mmHg</p> Signup and view all the answers

    What is the recommended dosage of Whole Blood for an adult patient?

    <p>1-2 units</p> Signup and view all the answers

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