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Obstetric (OB) related hemorrhage is the most common and dangerous complication of pregnancy. It is the leading cause (94%) of maternal deaths worldwide. Approximately 20 in 100,000 women die from maternal hemorrhage yearly in North America, and the mortality rate is even higher in developing countries.

As an emergency physician, I routinely have to make quick decisions that can impact the direction and quality of care for my patients. With the current high nursing turnover and short-staffing on many shifts, these decisions are even more important, as they can also positively or negatively impact provider stress and patient flow. Streamlined care for critical patients is extremely helpful to the team and for patient care. 

GI bleed cases can be difficult to

Background 

A 16 y/o male with a history of irritable bowel disease presents to the Emergency Department vomiting blood. He has an ostomy in place. His initial vital signs were BP 82/59, HR 160, SI 1.95. He was ill-appearing, with skin gray and ashen. The staff placed a 20-gauge peripheral IV and infused a 1-liter NS bolus using the LifeFlow PLUS and the QinFlow Warrior blood and fluid warmer. 

After a slight improvement, he received 1 u