A patient with postpartum hemorrhage continues bleeding after uterotonic treatment and source-control measures are underway. Fibrinogen is 0.8 g/L

Question

A patient with postpartum hemorrhage continues bleeding after uterotonic treatment and source-control measures are underway. Fibrinogen is 0.8 g/L and viscoelastic testing confirms severe fibrinogen deficit. What replacement should be prioritized?

Accepted Answer

Give fibrinogen concentrate or cryoprecipitate within the major-obstetric-hemorrhage protocol

Answer

Use vitamin K alone for immediate fibrinogen replacement

Answer

Give a direct oral anticoagulant to suppress consumption

Answer

Give platelets alone despite a normal platelet count

Answer

Delay components until the hemoglobin result stabilizes

Disseminated intravascular coagulation from sepsis — RCPSC IM MCQ

A patient with postpartum hemorrhage continues bleeding after uterotonic treatment and source-control measures are underway. Fibrinogen is 0.8 g/L and viscoelastic testing confirms severe fibrinogen deficit. What replacement should be prioritized?