RT Book, Section
A1 Gilliland, Samuel
A1 Kacmar, Rachel M.
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135741338
T1 Massive Transfusion Protocols
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135741338
RD 2024/04/24
AB Uncontrolled  hemorrhage  is  the  most  common  cause  of  death  in  trauma  patients  admitted  to  the  hospital,  with  a  30%  mortality  rate  in  those  carrying  the  diagnosis.  Additionally,  nearly  one  in  four  trauma  patients  is  coagulopathic  upon  arrival,  making  appropriate  and  expedient  delivery  of  blood  products  and  adjuncts  paramount  to  their  survival.  As  a  result,  most  trauma  centers  have  developed  and  maintain  massive  transfusion  protocols  (MTPs)  that  specify  preset  volumes  and  ratios  of  blood  products  to  be  rapidly  available  when  needed.  These  protocols  also  contain  standardized,  efficient  lines  of  communication  between  the  emergency  department,  operating  room,  and  blood  bank.  In  this  chapter,  we  will  discuss  the  etiology  of  trauma-induced  coagulopathy  (TIC),  blood  typing  and  the  implications  of  uncrossmatched  blood  transfusions,  currently  accepted  ratios  of  blood  products  for  transfusion,  and  possible  adjuncts  to  blood  products  during  massive  transfusion.