A.
Provide careful compression. Consider using hemostatic dressings and/or provide surgical hemostasis as needed.
B.
Meanwhile, thoroughly assess the coagulation status and perform viscoelastic testing (VET) if feasible.
C.
If any anomaly is detected, treat accordingly.
D.
If the bleeding source is internal or if there is any doubt of contextual internal bleeding, perform exams as needed or available. Treat accordingly once a diagnosis is made.
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 the incident in the ELSO registry.
This concludes Blood Out of Circuit.