Activation Criteria
This condition must accompany hemorrhage to activate MTP.
What is hemodynamic instability?
First action to take when MTP is suspected.
What is call the Transfusion Medicine Laboratory and verbally order 2 units of PRBC?
This test determines blood compatibility.
What is Group & Screen?
Medication given within 3 hours of traumatic injury.
What is tranexamic acid?
This person is delegated to communicate directly with the Transfusion Medicine Laboratory.
Who is the unit clerk?
The minimum number of PRBC units anticipated within one hour to trigger MTP.
What is 3 units?
Number of IV lines recommended for fluid delivery.
What is two wide bore peripheral IVs or a central venous line?
This electrolyte must be closely monitored during massive transfusion.
What is ionized calcium?
This monitoring is recommended continuously during massive transfusion.
What is cardiac monitoring?
This role involves retrieving blood products from the Transfusion Medicine Laboratory.
Who is the Supply/Equipment Runner?
The age group covered by this protocol.
What is adults 17 years and older?
Device used to deliver warmed fluids rapidly.
What is a rapid transfuser/warmer?
These tests assess coagulation status.
What are PT, INR, and fibrinogen?
Treatment for warfarin-related bleeding.
What is prothrombin complex concentrate and vitamin K?
This device must be used by nurses to warm and deliver blood products.
What is a rapid transfuser/warmer?
This ratio of blood components is recommended during massive transfusion.
What is 1:1:1 ratio of PRBC, plasma, and platelets?
This is the recommended temperature for warming blood products during massive transfusion.
What is 37°C?
This lab result triggers administration of 4 grams of fibrinogen concentrate.
What is fibrinogen ≤ 1.5 g/L?
A second dose of tranexamic acid is given if bleeding continues after this time.
What is 30 minutes?
These two blood products must not be run through a rapid transfuser or warming device during MTP.
What are platelets and cryoprecipitate?