Patient Blood Management Guidelines: Module 1

Critical Bleeding Massive Transfusion

| Background |

3.1 Definitions

3.1.1 Critical bleeding

Critical bleeding is a term used to describe a range of clinical scenarios where bleeding may result in significant patient morbidity or mortality. Broadly, critical bleeding falls into one of two categories (which may overlap):

  • major haemorrhage that is life threatening and is likely to result in the need for massive transfusion
  • haemorrhage of a smaller volume in a critical area or organ (e.g. intracranial, intraspinal or intraocular), resulting in patient morbidity or mortality.

For the purpose of this document, critical bleeding will refer only to the first category.

‘Critical bleeding’ may be defined as major haemorrhage that is life threatening and likely to result in the need for massive transfusion.