Model of Rainer et al for Massive Transfusion (Prince of Wales Hospital Score, PWH Score)

Purpose: To identify a trauma patient who will probably require massive blood transfusion using the Prince of Wales Hospital (PWH) score.

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Evaluation

Are you evaluating a trauma patient in the Emergency Department?

Yes

Age pf the patient

years

Heart rate in the Emergency Department

beats per minute

Systolic blood pressure in Emergency Department

mm Hg

Glasgow Coma Score (GCS)

Does the patient have a displaced pelvic fracture?

Yes

Is fluid present on an abdominal CT or FAST exam?

Yes

Base deficit

Hemoglobin

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Is the patient at high risk for requiring massive blood transfusion?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Predicting Need for Allogenic Blood Transfusion Following Surgery for Lung Cancer

Therapy

Options
- Transfusion Planning Algorithm of Weber in Surgical Patients with Cancer of the Head and Neck (TPRA Model)
Selection
Dosage Calculations

Monitoring

Complication Detection
- Risk Index of McCluskey et al for Predicting Massive Blood Transfusion Associated with Liver Transplant Surgery

Specialty

Clinical Laboratory
Surgery, general
Anesthesiology
Emergency Medicine
Critical Care

Objective

risk factors
complications
selection

ICD-10

D62 - Acute posthaemorrhagic anaemia
T79 - Certain early complications of trauma, not elsewhere classified
Z51.3 - Blood transfusion [without reported diagnosis]

Info

Purpose: To identify a trauma patient who will probably require massive blood transfusion using the Prince of Wales Hospital (PWH) score.

Specialty: Clinical Laboratory, Surgery, general, Anesthesiology, Emergency Medicine, Critical Care

Objective: risk factors, complications, selection

ICD-10: D62, T79, Z51.3,

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