{"id":12428,"date":"2024-01-15T08:54:00","date_gmt":"2024-01-15T13:54:00","guid":{"rendered":"https:\/\/transfusionontario.org\/phm-2-0-symposium-educatif\/"},"modified":"2024-07-25T10:39:31","modified_gmt":"2024-07-25T14:39:31","slug":"phm-2-0-symposium-educatif","status":"publish","type":"post","link":"https:\/\/transfusionontario.org\/fr\/phm-2-0-symposium-educatif\/","title":{"rendered":"PHM 2.0 \u2013 Symposium \u00e9ducatif"},"content":{"rendered":"\n<p><em>RRoCS, R\u00e9gion du Centre<\/em><\/p>\n\n<p>Le 9 novembre dernier, 109 professionnels de la sant\u00e9 de diverses disciplines provenant de tout l\u2019Ontario et d\u2019ailleurs ont assist\u00e9 au symposium \u00e9ducatif du RRoCS portant sur le protocole H\u00e9morragie massive (PHM). La rencontre visait \u00e0 r\u00e9unir les parties prenantes afin de leur pr\u00e9senter de nouveaux sujets li\u00e9s au patient en h\u00e9morragie massive, \u00e0 susciter des discussions et \u00e0 partager les toutes derni\u00e8res donn\u00e9es probantes qui pouvaient avoir des r\u00e9percussions sur l\u2019\u00e9volution des premi\u00e8res recommandations ontariennes relatives au protocole en cas d\u2019h\u00e9morragie massive<sup>.<\/sup> <\/p>\n\n<p>L\u2019activit\u00e9 \u00e9ducative s\u2019articulait autour des trois questions fondamentales suivantes :<\/p>\n\n<p>1. Qu\u2019avons-nous appris?<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Donn\u00e9es sur les r\u00e9sultats du sondage provincial et de l\u2019essai pilote au sujet du portail sur les mesures de qualit\u00e9 <\/li>\n<\/ul>\n\n<p>2. \u00c0 quoi pouvons-nous nous attendre?<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Changements imminents en raison de nouveaux produits, de nouveaux essais et de nouvelles publications <\/li>\n<\/ul>\n\n<p>3. Qu\u2019allons-nous faire maintenant pour actualiser les recommandations et am\u00e9liorer la pratique courante? <\/p>\n\n<ul class=\"wp-block-list\">\n<li>Administrer de l\u2019acide tranexamique avant une transfusion de globules rouges en milieu hospitalier<\/li>\n\n\n\n<li>Faire un bilan clinique de tout \u00e9v\u00e9nement<\/li>\n\n\n\n<li>Aborder les obstacles au changement<\/li>\n<\/ul>\n\n<p id=\"mhp-article\">Comme l\u2019illustre la figure 1 ci-dessous, le nombre d\u2019h\u00f4pitaux qui se sont dot\u00e9s d\u2019un PHM structur\u00e9 a nettement augment\u00e9, soit de 25 depuis 2018.<\/p>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"578\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-implementation-2023-1024x578.png\" alt=\"\" class=\"wp-image-11087\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-implementation-2023-1024x578.png 1024w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-implementation-2023-300x169.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-implementation-2023-768x433.png 768w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-implementation-2023-110x62.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-implementation-2023.png 1305w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Figure 1. Gracieuset\u00e9 de la Dre Chantalle Grant <\/figcaption><\/figure>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"578\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Formal-MHP-2023-1024x578.png\" alt=\"\" class=\"wp-image-11089\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Formal-MHP-2023-1024x578.png 1024w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Formal-MHP-2023-300x169.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Formal-MHP-2023-768x433.png 768w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Formal-MHP-2023-110x62.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Formal-MHP-2023.png 1305w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Figure 2. Gracieuset\u00e9 de la Dre Chantalle Grant <\/figcaption><\/figure>\n\n<p>Parmi les h\u00f4pitaux, 47 % (75) ont un tel protocole en place. Quarante-sept autres (30 %) ont indiqu\u00e9 qu\u2019ils s\u2019alignaient en partie sur les recommandations ontariennes. Dans 37 % des \u00e9tablissements, il n\u2019y a pas de PHM en place, mais 18 % (29) de ceux qui n\u2019en ont pas mentionnent qu\u2019ils travaillent en ce moment \u00e0 l\u2019\u00e9tablissement d\u2019un tel protocole et veulent s\u2019aligner sur les recommandations ontariennes. Dans sept pour cent (7 %) des h\u00f4pitaux ontariens (7 petits et un gros), il n\u2019y avait aucun PHM en place et aucun travail en ce sens n\u2019\u00e9tait pr\u00e9vu au moment du sondage.    <\/p>\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Do-Dont-MHP-2023-Fr.png\" alt=\"\" class=\"wp-image-11093\" style=\"aspect-ratio:1.0212264150943395\"\/><\/figure>\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-quotes-Fra-1024x551.png\" alt=\"\" class=\"wp-image-11150\" style=\"width:840px;height:452px\"\/><\/figure>\n\n<p>Nous comprenons votre situation! \u2026 <strong><u>Cependant<\/u><\/strong>, un patient en h\u00e9morragie massive peut se pr\u00e9senter \u00e0 n\u2019importe quel h\u00f4pital. <\/p>\n\n<ul class=\"wp-block-list\">\n<li>\uf0d8 Assurez-vous d\u2019avoir en place une politique de transfert du patient \u00e0 un autre \u00e9tablissement qui verra \u00e0 limiter les d\u00e9g\u00e2ts.<\/li>\n\n\n\n<li>\uf0d8 Profitez des ressources dont vous disposez. Pensez \u00e0 une politique r\u00e9gionale, voyez comment d\u2019autres \u00e9tablissements de taille semblable et offrant des services comparables abordent le probl\u00e8me ou consultez la <a href=\"\" data-type=\"\" data-id=\"\">feuille de contr\u00f4le en milieu transitoire<\/a> mise \u00e0 votre disposition <\/li>\n<\/ul>\n\n<p>Malgr\u00e9 les avanc\u00e9es impressionnantes r\u00e9alis\u00e9es dans la province depuis cinq ans pour \u00e9tablir des normes de soins de la personne en \u00e9tat d\u2019h\u00e9morragie massive, des am\u00e9liorations restent possibles. En 2024, notre travail sur le PHM 2024 visera \u00e0 r\u00e9duire encore davantage les variations entre les politiques, \u00e0 augmenter l\u2019inclusion de directives p\u00e9diatriques pour les h\u00f4pitaux qui soignent des enfants (seulement 56 des 101 h\u00f4pitaux qui ont indiqu\u00e9 qu\u2019ils soignaient des personnes de moins de 18 ans incluent des dispositions pour cette population); nous voulons aussi continuer \u00e0 assurer l\u2019assurance de la qualit\u00e9 et l\u2019adh\u00e9sion.  <\/p>\n\n<p><em>Les pr\u00e9sentations ont \u00e9t\u00e9 archiv\u00e9es et peuvent \u00eatre consult\u00e9es <a href=\"https:\/\/transfusionontario.org\/en\/category\/orbcon-resources\/presentation-library\/massive-hemorrhage-protocol-presentations\/mhp-symposium-2023\/\" data-type=\"link\" data-id=\"https:\/\/transfusionontario.org\/en\/category\/orbcon-resources\/presentation-library\/massive-hemorrhage-protocol-presentations\/mhp-symposium-2023\/\">ici<\/a><\/em><\/p>\n\n<h2 class=\"wp-block-heading has-text-align-center\">Featured Resources<\/h2>\n\n<h3 class=\"wp-block-heading has-text-align-center\">PHM 2.0<\/h3>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"498\" height=\"334\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-2.0-1.png\" alt=\"\" class=\"wp-image-11154\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-2.0-1.png 498w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-2.0-1-300x201.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/MHP-2.0-1-110x74.png 110w\" sizes=\"auto, (max-width: 498px) 100vw, 498px\" \/><\/figure>\n<\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-75\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-text-align-center wp-element-button\" href=\"https:\/\/transfusionontario.org\/en\/category\/orbcon-resources\/presentation-library\/massive-hemorrhage-protocol-presentations\/mhp-symposium-2023\/\" style=\"border-radius:0px;background-color:#083459\">View Archived Presentations<\/a><\/div>\n<\/div>\n\n<h2 class=\"wp-block-heading has-text-align-center\">Upcoming Events <\/h2>\n\n<h3 class=\"wp-block-heading has-text-align-center\">Transfusionists Talk<\/h3>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Transfusionists-Talks-2024.png\" alt=\"\" class=\"wp-image-11109\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Transfusionists-Talks-2024.png 500w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Transfusionists-Talks-2024-300x300.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Transfusionists-Talks-2024-150x150.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2024\/01\/Transfusionists-Talks-2024-110x110.png 110w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n<\/div>\n<h3 class=\"wp-block-heading has-text-align-center\">U of T Rounds <\/h3>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds.png\" alt=\"\" class=\"wp-image-7672\" style=\"width:519px;height:292px\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds.png 800w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds-300x169.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds-768x432.png 768w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds-110x62.png 110w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n<p class=\"has-text-align-center\"><strong>January 25, 2024 @12pm-1pm<\/strong><\/p>\n\n<p class=\"has-text-align-center\"><a href=\"http:\/\/eepurl.com\/gCvJ7b\">Subscribe<\/a> to U of T Transfusion Medicine Rounds mailing list to get registration details<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RRoCS, R\u00e9gion du Centre Le 9 novembre dernier, 109 professionnels de la sant\u00e9 de diverses disciplines provenant de tout l\u2019Ontario et d\u2019ailleurs ont assist\u00e9 au symposium \u00e9ducatif du RRoCS portant [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":11112,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","footnotes":""},"categories":[138],"tags":[],"class_list":["post-12428","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bulletin"],"acf":[],"_links":{"self":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts\/12428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/comments?post=12428"}],"version-history":[{"count":0,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts\/12428\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/media\/11112"}],"wp:attachment":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/media?parent=12428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/categories?post=12428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/tags?post=12428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}