Trauma nursing 4: recognising and managing haemorrhage in trauma

Nursing management of a trauma patient with a major haemorrhage is discussed in this fourth article in our series on trauma nursing. An understanding of the complex pathophysiology is essential to help nurses recognise problems promptly. Good interdisciplinary teamwork is also pivotal in managing this lifethreatening event, and staff education and training have a key role in developing and improving the patient experience and outcomes.

This article has been double-blind peer reviewed

In this article…

• How major haemorrhage can present in the trauma patient

• The pathophysiology of major haemorrhage

• Nursing management of the trauma patient with major haemorrhage

Key points

Trauma patients who sustain a major haemorrhage need care with a coordinated multidisciplinary approach

Nurses involved need specific knowledge and skills to manage this complex situation

Major haemorrhage protocols are essential to guide all staff

A multidisciplinary team approach to training and education will improve patient outcomes

Debriefing staff and reflecting on practice are pivotal to improving care