uk-fficm MCQ (SBA): Post-Cardiac Surgery Bleeding

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HardHaematology & CoagulationPost-Cardiac Surgery Bleedinguk-fficm

A 60-year-old man is admitted to ICU after cardiac surgery requiring cardiopulmonary bypass (CPB). He has excessive mediastinal bleeding (>300 mL/hr). ROTEM shows: EXTEM CT 95 seconds (prolonged), EXTEM A10 40 mm (low), FIBTEM A10 8 mm (low-normal), HEPTEM CT 55 seconds (normal). What does the discrepancy between EXTEM CT and HEPTEM CT suggest?

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uk-fficm MCQ: Post-Cardiac Surgery Bleeding — Answer & Explanation | i