Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

Symptoms(up to the time of diagnosis)Bleeding Assessment ToolScoreEpistaxis No / trivial • > 5/year or• more than10 minutesCutaneous No / trivial For bruises 5or more (> 1 cm)in exposed areasBleeding from minorwounds0 1 2 3 4No / trivial • > 5/year or• more than10 minutesConsultation only Packing or cauterizationor antifibrinolyticBlood transfusion or replacement therapy(use of hemostatic blood componentsand rFVIIa) or desmopressinConsultation only Extensive Spontaneous hematoma requiring bloodtransfusionConsultation only Surgical haemostasis Blood transfusion, replacement therapy,or desmopressinOral cavity No / trivial Present Consultation only Surgical haemostasisor antifibrinolyticGastrointestinalbleedingNo / trivial Present(not associatedwith ulcer, portalhypertension,hemorrhoids,angiodysplasia)Hematuria No / trivial Present(macroscopic)Tooth extraction No / trivialor nonedoneSurgery No / trivialor nonedoneReported in ≤ 25%of all procedures,no interventionReported in ≤ 25%of all procedures,no interventionConsultation only Surgical haemostasis,antifibrinolyticConsultation only Surgical haemostasis,iron therapyReported in > 25%of all procedures,no interventionReported in > 25%of all procedures,no interventionBlood transfusion, replacement therapyor desmopressinBlood transfusion, replacement therapyor desmopressinBlood transfusion, replacement therapyor desmopressinResuturing or packing Blood transfusion, replacement therapyor desmopressinSurgical haemostasisor antifibrinolyticBlood transfusion, replacement therapyor desmopressinBleeding47