ROTEM Decision SupportCardiac critical care · point-of-care coagulation algorithm
Patient
Identifiers, age and weight — these select the algorithm
A preterm baby is corrected to a 40-week term equivalent before the age group is decided, so a 30-day-old born at 28 weeks is still handled as a neonate. Leave blank for a term birth.
Algorithm
Chosen from age — override only if you must
Inputs
All ROTEM fields optional
Platelet aggregometry and ACT are used by the paediatric pathway: aggregometry can trigger the platelet step on its own, and the paediatric protocol asks for ACT confirmation alongside the CT ratio before giving protamine.
Recommendations
Sequential — re-check ROTEM after each correction
Patient record
Encrypted on this device
EMR note
SOAP format — auto-filled, editable
Fibrinogen / Cryoprecipitate dose reference
Targeted increase in FIBTEM A5 (mm) → weight-based dose. The matching row highlights automatically after evaluation.
| Δ FIBTEM A5 (mm) | Fibrinogen (mg/kg) | Cryoprecipitate (ml/kg) |
|---|---|---|
| 2 | 12.5 | 1 |
| 4 | 25 | 2 |
| 6 | 37.5 | 3 |
| 8 | 50 | 4 |
| 10 | 62.5 | 5 |
| 12 | 75 | 6 |