Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Stabilization and bleeding control
If airway compromise or massive hematemesis, initiate RSI with suction-ready setup
Two large-bore IV or IO
Warming measures and active rewarming if hypothermia
If hemorrhagic shock, activate massive transfusion protocol
Balanced transfusion strategy 1:1:1 RBC:plasma:platelets as initial empiric target
Permissive hypotension strategy if uncontrolled traumatic hemorrhage and no TBI
Source control
Direct pressure and tourniquet for extremity bleeding
Pelvic binder for suspected pelvic fracture hemorrhage
Hemodynamic targets and monitoring
Shock recognition
Lactate trend for adequacy of resuscitation
Urine output target 0.5 mL/kg/hour adult
Monitoring
Continuous ECG and pulse oximetry
Arterial line if ongoing vasoactive infusions or refractory shock
Early high-risk triggers
Intracranial hemorrhage on anticoagulant
Immediate reversal pathway activation
Neurosurgery consultation and repeat imaging plan
Suspected DIC with active bleeding
Treat trigger and targeted blood component therapy
Massive GI bleed with coagulopathy
Early endoscopy or IR activation based on hemodynamics
Initial diagnostic framing
Coagulopathy phenotype
Primary hemostasis defect pattern
Mucocutaneous bleeding and petechiae
Immediate bleeding after minor trauma
Secondary hemostasis defect pattern
Deep tissue hematomas and hemarthroses
Delayed bleeding after procedures
Mixed pattern
DIC
Severe liver failure
Medication and iatrogenic drivers
Anticoagulants
Warfarin
Direct factor Xa inhibitors
Direct thrombin inhibitor
Unfractionated heparin and LMWH
Antiplatelets
Aspirin
P2Y12 inhibitors
Thrombolytics within prior 24 hours
Alteplase or tenecteplase exposure
Early consults
Team activation
Hematology for suspected factor inhibitor, hemophilia, vWD, refractory bleeding
Access to factor concentrates and specialized assays
Transfusion medicine and blood bank
Massive transfusion coordination and special products
Surgery, IR, GI, OB
Site-specific hemostasis procedures
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.