Catastrophic Non-Traumatic Hemorrhage - A Case Review

Monday, October 23, 2023

12:45 – 13:45 East Coast USA Time

Location: Room A112/113

Main Presenter(s)

Cody Winniford, BA, EMT-P, CCP-C, FP-C

Air Medical Base Supervisor
PHI Air Medical - Baltimore, MD
Elkton, Maryland, United States

Co-Presenter(s)

Benjamin Lawner, DO, MS, EMT-P (he/him/his)

Associate Professor, Department of Emergency Medicine
University of Maryland School of Medicine, Baltimore, MD
Baltimore, Maryland, United States

Disclosure(s):

Cody Winniford, BA, EMT-P, CCP-C, FP-C: No financial relationships to disclose

Benjamin Lawner: No financial relationships to disclose

CCT Teams are often asked to facilitate the movement of patients who are either on the brink of a catastrophic non-traumatic hemorrhage, or are already suffering from it. These cases present several challenges to transport teams and this presentation will serve to highlight some of those challenges and provide some solutions for how to address those challenges. It will provide CCT teams with tools to enhance their mental models for the movement of these critically ill patients and ask the question: too sick to transport?

Learning Objectives:

Explain catastrophic non-traumatic hemorrhage from a pathophysiologic perspective and an approach to the management of these cases.
Describe the role of vasopressors during catastrophic non-traumatic hemorrhage by articulating the phases of physiologic response to hemorrhage: sympathoexciatory phase vs. sympathoinhibitory phase.
Apply concepts of mechanical ventilation management in the setting of transfusion associated lung injury (TRALI) and transfusion associated circulatory overload (TACO).