As promised, see the attached Massive Transfusion Protocol Final.
Some important points are highlighted. The guideline for when a patient might need the MTP is:
· one blood volume transfusion over 24 hours,
· 50% blood volume in 3 hours
· ongoing blood loss >150 ml/min
· expected >10 pRBC units in 24 hours
Most of all, please remember, there are TWO ways to get emergent blood and they are both done by a PHONE CALL to the blood bank:
· Emergent release of blood
o This could be o-neg or type specific uncrossed blood.
o Be aware you might get O-pos blood for men and women over child-bearing years.
o Use this for unstable bleeding patients who need blood ASAP, but don’t meet the above MTP criteria
· Massive Transfusion
o Use this for patients meeting the above criteria.
o The blood bank will put an order into Epic saying which products were sent.
Pleased send a reply to me indicating that you have read and understand the policy.
Peter Shearer, MD FACEP
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