These cases are all real de-identified cases shared by many and written up over the last 3-4 years for the purposes of demonstrating the use of ROTEM guided therapy in action. They are very useful for reinforcing the principles but you should also consider completing the 3 module ROTEM learning package to ensure you understand the underlying principles:
To get the most educational benefit from reading these cases – you need to try and interprete them yourself before reading the discussion. Open the following link below in a new tab so that you can refer to a ROTEM algorithm as you read through them:
ROTEM algorithms for reference August 2018
CASES
Case 1 – Code Blue Caesarean at Midnight – ruptured uterus
Case 2 – Placenta percreta a challenging case
Case 3 – Elective Open AAA repair
Case 4 – Unexpected massive haemorrhage in a peripheral clinic
Case 5 – Upper GI haemorrhage
Case 6 – Abruption and fetal death in utero
Case 7 – Major cancer resection and bleeding after a termination
Case 8 – Bleeding after non elective CS how long does it take to correct the fibrinogen
Case 9 – Placenta percreta massive blood loss case number 2
Case 10 – Uterine inversion
Case 11 – Abruption and severe coagulopathy
Case 12 – Shark attack and lower limb blood loss
Case 13 – Bleeding ectopic pregnancy
Case 14 – Uterine atony then severe unexpected coagulopathy
Case 15 – Uterine atony and 1.7litre blood loss
Case 16 – Postpartum haemorrhage make sure you give enough fibrinogen
Case 17 – Major burns debridement
Case 18 – Unexpected accreta and panic
Case 19 – Bleeding after caesarean is that fibrinolysis
Case 20 – Anaphylaxis under GA and now they are oozy
Case 21 – Amniotic fluid embolism and now she is oozy
Case 22 – July 2018 Post CABG fibrinolysis
Case 23 – August 2018 Abruption and Fetal Death
Case 24 – Sept 2018 MVA Fibrinolysis and low fibrinogen
Case 25 – Dec 2018 Neonatal cardiac surgical case
Case 26 – 11 Jan 2019 Obstetric haemorrhage
Case 27 – Feb 2019 Aortic aneurysm repair
Case 28 – April 2019 Coagulopathy after ectasy overdose
Case 29 –