PedsCrit cover image

PedsCrit

Hemorrhagic Shock with Dr. Matthew Borgman

Nov 18, 2024
Dr. Matthew Borgman, a Professor of Pediatrics specializing in Critical Care, shares his vast expertise in managing pediatric hemorrhagic shock. He delves into the complexities of recognizing and treating this condition, emphasizing careful fluid resuscitation and the strategic use of blood products. The discussion highlights the advantages of low titer group O whole blood and advanced coagulation testing methods like TEG and ROTEM. Borgman also addresses the challenges of implementing these practices in various healthcare settings, paving the way for improved trauma care.
48:45

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Pediatric hemorrhagic shock is defined by life-threatening bleeding, where children may lose significant blood volume before showing hypotensive signs.
  • The debate around crystalloid fluids underlines a preference for blood product resuscitation, emphasizing a need for early availability of these products in emergencies.

Deep dives

Understanding Hemorrhagic Shock in Children

Hemorrhagic shock in children is defined as life-threatening bleeding, which may manifest in various ways, including tachycardia and cool extremities, without necessarily being hypotensive. The assessment includes recognizing that before a child becomes hypotensive, they may have already lost about 30% of their blood volume. This state poses a significant risk, with mortality rates in affected children ranging from 36% to 50%, almost doubling the adult rate. It is crucial to continuously monitor vital signs and overall condition to gauge the child's status accurately and determine the need for immediate intervention.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode