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Dilutional coagulopathy during ongoing bleeding

Educational use only. Not clinically reviewed

67-year-old woman for Revision hip arthroplasty under neuraxial anesthesia. About 6 simulated minutes.

What you will practise

  • Use the new diffuse oozing to prompt coagulation assessment.
  • Use the abnormal panel, not volume loss alone, to guide the bounded plasma response.
  • Repeat the panel after plasma rather than assuming correction.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • NICE NG24. Blood transfusion: fresh frozen plasma transfusion. Updated February 26, 2026.
  • NHS Blood and Transplant. Fresh-Frozen Plasma Dosage poster. Version 1.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.