Bleeding Nightmare!


4 week course (10 hours CPD), starting 19th April 2021


Week 1

Overview of the bleeding patient 

  • What is coagulation
  • What is anaemia
  • What impacts coagulation ability in our patients

Learning outcomes:
After completion of this week, participants should be able to:

  • Describe the physiology of coagulation
  • Understand regenerative and non-regenerative anaemia
  • Explain what might impact a patient to be able to coagulate normally (these will then
    be expanded upon in weeks 3 and 4)

Week 2

Blood transfusions

  • When to transfuse a patient
  • Different blood products available
  • Blood typing
  • Blood donations
  • Administration of blood products

Learning outcomes:
After completion of this week, participants should be able to:

  • Describe how we identify patients in need of a blood transfusion
  • List the different blood products available on the veterinary market and which is the most suitable for the patient
  • Explain the process of blood typing and why this is necessary in cats and dogs
  • Describe how a blood donation is collected in a canine and feline donor – including donor selection, the donation procedure and processing of blood products
  • Discuss how to administer a blood transfusion and the common signs associated with a transfusion reaction

Week 3

Primary Coagulation Disorders 

  • Platelet disorders (IMTP/DIC)
  • Diagnosis of primary coagulation disorders
  • Thrombosis
  • Management of these patients

Learning outcomes:
After completion of this week, participants should be able to:

  • Describe the physiology behind the most common primary platelet disorders seen in veterinary patients
  • Describe how diagnosis of coagulation disorders can be made in practice
  • Explain thrombosis and why this might occur in veterinary patients
  • Understand the different treatments available to patients with each of these disorders
  • Describe how to best nurse these patients whilst they are being cared for in the

Week 4

Secondary Coagulation Disorders 

  • Congenital coagulation disorders
  • Acquired coagulation disorders
  • Treatment of coagulation disorders
  • Nursing considerations
  • Plasma transfusions

Learning outcomes:
After completion of this week, participants should be able to:

  • List some of the congenital coagulation disorders and understand the physiology of each
  • List some of the common acquired coagulation disorders and understand the
    physiology of each
  • Describe the treatment options for these conditions
  • Discuss the common nursing considerations and interventions which can be implemented in the nursing care of these hospitalised patients
  • Describe when and how to administer a fresh frozen plasma to support a patient with a coagulopathy

The course will be fully tutored by Elle Haskey and Katie Gray, and will consist of 10 hours of CPD given in various formats, including tutorials, tasks, case studies, forum discussions and quizzes.


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Elle Haskey

BSc(hons), VTS(ECC) VPAC A1, RVN


Eleanor graduated in 2008 from the University of Bristol with an honours degree in Veterinary Nursing and Practice Administration. She worked as a branch head nurse in a mixed practice in the Midlands for 2 years before returning to the University of Bristol as senior ICU nurse, where she was responsible for the day to day running of the intensive care unit, triaging and assessing emergencies and providing care for critical patients. In 2014 Eleanor transferred to the emergency and critical care centre at the Royal Veterinary College.

Eleanor gained the VTS(ECC) qualification in 2012, and she particularly enjoys trauma, seizures, ventilator cases and haematological disorders




Katie Gray



Katie is currently appointed as Senior Emergency and Critical Care Nurse at the Royal Veterinary College where she has been since late 2012. Katie’s favourite cases are those who are critically unwell in ICU, especially septic patients and those on mechanical ventilation. Katie is on the BSAVA Metropolitan Committee organising CPD throughout London and is currently working towards her PG Cert in Veterinary Education at the RVC. In her spare time, Katie enjoys gardening with help from her two spaniels, Flo and Martha, and her rescue cat Hendricks.


This online course is worth 10 hours of CPD.

A certificate will be available from the ‘My Courses’ section, for you to download and print, once you have completed the course.  A permanent record of your total CPD hours will also be recorded in your account section.


Upon purchase you will be registered to attend the course, for 4 weeks from the start date.  The course will consist of various interactive tasks and lessons, including quizzes, case studies, forum discussions and further reading material.

The course is fully tutored, with new material will be provided weekly, but the onus will be on the individual delegate to ensure that all tasks are fully complete.  The certificate will only be issued at the end of the course when all tasks have been accomplished.  Fewer CPD hours will be awarded at the the end of the course if there are unfinished tasks or there has been no contribution to the discussion forum, for example.


The course is fully flexible, and there are no weekly ‘deadlines’ – the lessons and tasks may be completed whenever is convenient for each delegate, and any live lessons with be recorded and made available in that format.   Furthermore, all the course material (excluding the interactive discussion forum) will be available for a further 2 weeks, to allow delegates the opportunity to catch up on missed lessons and tasks, or to take the opportunity to delve further into the suggested reading texts.  Please note however, that the course will not be tutored by the speaker during these final two weeks.


After 6 weeks, all learning material will be cleared from the delegate’s account, so please ensure any important course notes or information is saved to your personal computer before this time.  If you make any personal notes during the course using the ‘take notes’ app, these will be saved, along with your certificate and CPD record for permanent access in ‘My CPD’.