A 32-year-old woman has a major pelvic fracture after a motor vehicle crash. CT shows a grade 3 lateral compression fracture with active bleeding from a branch of the left internal iliac artery.
She has no significant past medical history and no other injury. Embolisation has been arranged in the angiography suite. Her coagulation profile is shown below.
| Test |
Result |
Reference range |
| Platelets |
45 x 10^9/L |
150-400 x 10^9/L |
| INR |
2.2 |
0.9-1.2 |
| PT |
22 seconds |
9-13 seconds |
| APTT |
53 seconds |
24-39 seconds |
| Fibrinogen |
0.9 g/L |
1.7-4.5 g/L |
Interpret the coagulation results.
(Marked out of 2.0)
/ 2
Based on these results, state three further resuscitation components and include an endpoint for each.
(Marked out of 3.0)
/ 3
List three additional laboratory targets for ongoing resuscitation.
(Marked out of 3.0)
/ 3
State the approximate volume of each listed blood product.
(Marked out of 4.0)
/ 4
Total Score: 0 / 12
Percentage: 0%
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