Objectives

After participating in this educational activity, attendees should be able to:
1|Recognize occult postoperative hemorrhage and identify clinical patterns suggesting retroperitoneal or concealed bleeding after femoral/iliac vascular intervention, even when the groin examination and initial hemoglobin appear reassuring.

2|Identify deterioration that should trigger escalation and recognize recurrent hypotension, increasing vasopressor requirements, worsening perfusion, falling hemoglobin, or loss of reliable monitoring/access as triggers for immediate multidisciplinary reassessment and escalation.

3|Prioritize resuscitation and definitive source control and develop a coordinated approach to suspected hemorrhagic shock that integrates vascular access, blood product resuscitation, hemodynamic support, appropriate imaging, and timely operative/endovascular source control.

Presenter(s): 
Koriante Rogers, M.D.
Anesthesia Resident
Department of Anesthesiology
UMass Chan Medical School
Baystate Medical Center