Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

Symptoms(up to the time of diagnosis)Bleeding Assessment Tool (cont.)ScoreMenorrhagia No / trivial Consultationonly or• Changing padsmore frequentlythan every 2hours or• Clot and floodingor• PBAC score >100Post-partumhemorrhageNo / trivialor nodeliveries0 1 2 3 4Consultationonly or• Use of syntocin or• Lochia > 6 weeksMuscle hematomas Never Post trauma,no therapyHemarthrosis Never Post trauma,no therapy• Time off work/school >2/year or• Requiringantifibrinolytics orhormonal or irontherapy• Iron therapy or• AntifibrinolyticsSpontaneous,no therapySpontaneous,no therapy• Requiring combinedtreatment withantifibrinolytics andhormonal therapy or• Present sincemenarche and > 12monthsRequiring bloodtransfusion, replacementtherapy, desmopressinor requiring examinationunder anaesthesia and/orthe use of uterin balloon/package to tamponadethe uterusSpontaneous ortraumatic, requiringdesmopressinor replacement therapySpontaneous ortraumatic, requiringdesmopressinor replacement therapy• Acute menorrhagia requiring hospitaladmission and emergency treatment orrequiring blood transfusion, replacementtherapy, desmopressin, or• Requiring dilatation & curretage orendometrial ablation or hysterectomyAny procedure requiring critical careor surgical intervention(e.g., hysterectomy, internal iliac artery legation,uterine artery embolization, uterine brace sutures)Spontaneous or traumatic, requiring surgicalintervention or blood transfusionSpontaneous or traumatic, requiring surgicalintervention or blood transfusionCNS bleeding Never Subdural, any intervention Intracerebral, any interventionOther bleedings No / trivial Present Consultation only Surgical haemostasis,antifibrinolyticsBlood transfusion or replacement therapyor desmopressinBleeding48