S4 Ep. 4: Bad blood, part 2 (ROTEM)

In this episode, we're continuing our discussion about ROTEM or rotational thromboelastometry. We start by working through the interpretation of ROTEM results for specific clotting abnormalities before going on to talk about more complex coagulopathies seen in trauma patients and in the bleeding obstetric patient. Lastly, we discuss the limitations to ROTEM interpretation.  Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode. Thanks for listening, and happy studying.  Resources for today's episode: ROTEM e-learning modules from the ROTEM website: https://learning.rotem.de/en/  Normal and abnormal ROTEM temograms from the Deranged Physiology website (see this website for the images of the abnormal temograms that we work through in this episode): https://derangedphysiology.com/main/required-reading/haematology-and-oncology/Chapter%201.2.0.1/intepretation-abnormal-rotem-data ROTEM product information and interpretation instructions with case examples: https://www.ttuhsc.edu/medicine/odessa/internal/documents/ttim-manual/ROTEM_Analysis.pdf  ROTEM Interpretation Flow Diagram from the NHS Brighton and Sussex University Hospitals: https://www.bsuh.nhs.uk/library/wp-content/uploads/sites/8/2021/12/ROTEM-interpretation.pdf  ANZCA 2017 Blue Book: https://www.anzca.edu.au/getattachment/5843b1ab-6599-453d-b55c-08450db9520e/Australasian-Anaesthesia-2017#page=  Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode. Thanks for listening, and happy studying!