TIME-SENSITIVE โ assess severity and escalate if deteriorating.
๐ Recognise
Falling Hb, tachycardia, hypotension, excessive drain/wound output or concealed bleeding.
๐ First actions
Urgent surgical review, IV access, group/crossmatch and resuscitation if unstable.
๐งช Investigate / reassess
Review anticoagulation, clotting and procedural options.
โ ๏ธ Escalation / pitfalls
Haemoglobin may initially remain normal during acute significant haemorrhage.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.