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Rule of 30, Shock index and

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Subtotal or Total Hysterectomy<br />

Severe hypotension > 20-<strong>30</strong> min<br />

Continued blood loss (>3 L) despite<br />

other surgical measures<br />

Inadequate response to blood<br />

replacement<br />

ECG changes<br />

Placenta praevia/acreta with bleeding<br />

DIC/ Washout phenomenon with<br />

difficulty in getting clotting factors

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