They Are Bleeding Out: An Interdisciplinary Approach to Improving Outcomes During Massive Hemorrhage

Author(s): Borish Judy A

Contact Hours 1.15

CERP A 1.15

Expires Dec 31, 2025

Topics: Hematology/Oncology, Hemodynamics

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Massive hemorrhage is a low-volume, high risk event. It is also a very chaotic event with two possible outcomes: death or survival, depending on how the staff responds. This intermediate level session discusses the need for a structured protocol to treat massive bleeds. It then follows a community hospital’s process to develop, implement and evaluate an evidence-based protocol. The session concludes with a case study recounting the protocol’s implementation and evaluation.


  • Discuss the need for an organized interdisciplinary structure to decrease the chaos surrounding massive hemorrhage events.
  • Describe a process to improve outcomes during massive bleeds.
  • Apply the steps from a case study to implement a massive transfusion protocol.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.15 contact hours.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

Refund Policy

Continuing Education Activities are nonrefundable.