A.

Immediately clamp the return and drainage line to isolate the patient.

B.

Assess for potential weaning. If weaning is not feasible, replace the circuit or the circuit component.

C.

Support the patient as needed.

D.

If the drainage line is involved, monitor the circuit for signs of circuit air entrance, and the patient for an air embolism. Treat accordingly.

E.

Estimate blood loss and replace with packed red blood cells (pRBC) if needed.

F.

Strictly monitor the patient for signs of complications or a new bleeding episode.

G.

Consider prophylactic antibiotics.

H.

Document the event and related procedures in the patient's chart.

I.

If applicable, report in the ELSO registry.

This concludes Blood Out of Circuit.