MTP Basics
Beyond the 10-unit/24-hour definition, this dynamic indicator reflects ongoing hemorrhage requiring MTP activation.
What is hemodynamic instability with transfusion >4 units in <1 hour?
This person activates the Code Transfusion by dialing “888” and stating the location.
Who is the nurse or communication clerk?
This blood component makes up 44% of blood volume and carries oxygen.
What are Packed Red Blood Cells (PRBCs)?
This medication is used to reverse the effects of Warfarin.
What is Vitamin K?
This temperature threshold must be maintained to prevent coagulopathy.
What is 36.0°C (Normothermia)?
This imaging modality can guide hemorrhage source identification during MTP.
What is point-of-care ultrasound (POCUS)?
After switchboard, this department must be contacted to initiate the first round of blood products.
What is the Blood Bank (ext. 1035)?
This universal blood type is used for women under 51 during MTP.
What is O Rh-negative and K-negative?
This reversal agent is used for Dabigatran (Pradaxa)
What is Idarucizumab (Praxbind)?
This type of thermometer is recommended for accurate core temperature monitoring.
What is esophageal or rectal thermometer?
WRHN defines MTP activation when a patient receives 6 units of PRBCs in less than this many hours.
What is 4 hours?
This team member transports blood products between the lab and bedside.
Who is the runner?
This plasma product requires 20 minutes to thaw before administration.
What is Fresh Frozen Plasma (FFP)?
This agent reverses Rivaroxaban, Apixaban, and Edoxaban.
What is Prothrombin Complex Concentrate (PCC or Octaplex)?
This lab value must be greater than 1.5 g/L before terminating MTP.
What is fibrinogen?
This term is increasingly used interchangeably with MTP to emphasize hemorrhage control.
What is Massive Hemorrhage Protocol (MHP)?
The 7 Ts of MTP include Trigger, Team, TXA, Testing, Transfuse to Target, Temp, and this final step.
What is Termination?
Platelets are only compatible with this fluid and must not be administered via the level 1 rapid and infuser.
What is normal saline?
This agent reverses Heparin and LMWH.
What is Protamine?
This lab test is auto-ordered if not done in the past 3 days.
What is Group and Screen?
This Ontario organization developed standardized MTP recommendations and quality metrics.
What is ORBCoN (Ontario Regional Blood Coordination Network)?
This medication must be administered within 3 hours of injury to be effective.
What is Tranexamic Acid (TXA)?
This electrolyte must be monitored and replaced during MTP due to citrate binding.
What is ionized calcium?
This factor is used cautiously in refractory hemorrhage and requires a special request form.
What is Recombinant Factor VIIa (rVIIa)?
This person officially deactivates the MTP protocol.
Who is the Lead Physician?