CHEST SEEK® Peer Review Discussions (3 New Videos! June 2026)-Postpartum Hemorrhage and Antifibrinolytic Therapy

Postpartum Hemorrhage and Antifibrinolytic Therapy

Video Transcription

Video Summary

The discussion focused on refining an obstetric hemorrhage case. Suggestions included changing the C-section indication to fetal distress, describing postpartum hemorrhage as possible uterine re-exploration rather than a planned return to surgery, and avoiding unnecessary detail about balloon devices. They clarified tranexamic acid dosing in postpartum hemorrhage, noted it differs from trauma practice, and recommended spelling out ACOG. Unneeded text about other causes and TEG was cut. The team also discussed fibrinogen replacement, including cryoprecipitate or fibrinogen concentrate, and suggested using a general phrase like “invasive definitive treatment” to cover options such as embolization, surgery, or balloon tamponade.

Asset Caption

Notable commentary from Drs. Jacqueline Kruser, Stephanie Levine, Matthew Prekker, and Todd Rice.

Recorded in February 2026.

Keywords

obstetric hemorrhage

postpartum hemorrhage

tranexamic acid

fibrinogen replacement

ACOG