Postpartum Haemorrhage

4 Ts — Tone/Trauma/Tissue/Thrombin

First 30 seconds

  1. 1ABCDE
  2. 2O₂ if SpO₂ <94%
  3. 3IV access + bloods
  4. 4Monitor: ECG, SpO₂, NIBP
  5. 5Call for senior help

Blood loss >500 mL vaginal or >1000 mL C-section within 24 h.

A

Airway

  • Patent? Talking? Stridor?
  • Suction, jaw-thrust, adjuncts, definitive airway if needed
B

Breathing

  • RR, SpO₂, auscultate, percuss
  • O₂ to target sats, NIV / intubate as required
C

Circulation

  • HR, BP, cap refill, JVP
  • 2× large-bore IV, bloods, monitor, ECG
D

Disability

  • AVPU/GCS, pupils, glucose, temp
E

Exposure

  • Full exposure, skin, rash, bleeding, lines, infection source
View flowchart algorithm

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