The practice of transfusion in the critically bleeding patient continues to evolve. The balanced ratio-based approach is now being challenged by the emergence of ROTEM and TEG driving the provision of goal directed transfusion. The evidence for this change is developing but further studies are required to clarify best practice. However transfusion is a domain where practice change frequently precedes the evidence. Introducing any change in practice presents its own problems. How can we best drive change in clinicians practicing the art of transfusion?
This presentation reviews the changing practice of haemostatic resuscitation in a large tertiary teaching hospital and the challenges that have been encountered with the introduction of unfamiliar technologies and new guidelines.
Dr Catherine Hurn
Cath is an exiled Tasmanian. Born and raised in Tasmania she has now been living in the warmer climes of Queensland for almost 20 years. She is an Emergency Physician at the Royal Brisbane and Womens Hospital where she has an eclectic range of interests. Trauma resuscitation, with a particular focus on haemostatic resuscitation, is one area she is passionate about. She has been a key driver in the widespread adoption of ROTEM guided transfusion in critical bleeding at her hospital. Cath chairs the M&M committee for the Emergency and Trauma Centre which fits well with her interest in quality improvement. She has also recently branched off in a different direction completing a Masters of Bioethics at the University of Sydney and is currently exploring avenues by which ethical issues in healthcare can be addressed in a robust and timely fashion. Outside of work Cath spends a lot of time around rowing sheds both watching her sons achieve their goals and trying to achieve her own goal of attaining speed and style. With that in mind she now owns a small property overlooking the Huon rowing shed where the water is always beautiful and pristine.