Massive Transfusion Protocols: The Role of Aggressive Resuscitation
Versus Product Ratio in Mortality Reduction
Riskin D, y col. J Am Coll Surg 2009;209: 198-205
"MTP implementation is associated with mortality reductions that have been ascribed principally to increased plasma use and decreased FFP:PRBC ratios. Our study found a significant reduction in mortality despite unchanged FFP:PRBC ratios and equivalent overall mean numbers of transfusions. Our data underscore the importance of expeditious product availability and emphasize that massive transfusion is a complex process in which product ratio and time to transfusion represent only the beginning of understanding."
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Massive Transfusion Guidelines
These guidelines will be piloted for trauma patients in the Emergency Department only starting April 18, 2005. Physician Leads: Rochelle Dicker, MD; Kent Garman, MD; Lawrence Goodnough, MD; David Spain, MD. Sponsored by: Quality Improvement and Patient Safety Department.