Simulated Scenarios
bleeding, uterine atony
MASSIVE HEMORRHAGE, BLEEDING, SURGICAL COMPLICATIONS, ECTOPIC PREGNANCY, CLOT, CLOTS, UTERINE ATONY
The critical bleeding scenarios included an ectopic pregnancy with a progressive increase of free pelvic fluid, an aortic arch reconstruction with insufficient heparin reversal, uterine atony after the cesarean delivery of twins, and a kidney transplant leading to a massive hemorrhage due to surgical complications. Each case lasted precisely 15 minutes. After 5 minutes from the beginning of each case, the teams received either Visual Clot or corresponding ROTEM temograms, presenting the current coagulation status of the patient. Following the coagulation management algorithm, teams had to administer several predefined therapies to stop the bleeding and correctly solve the scenario. Detailed case descriptions for every scenario and the shown Visual Clots and ROTEM temograms can be found in Each team participated in only 1 critical bleeding scenario with either Visual Clot or ROTEM temograms at their disposal. We randomized which scenario was processed by which team and which modality (Visual Clot and ROTEM Temograms) was used [