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lunes, 16 de julio de 2018

Massive transfusion protocol

An online community of practice for Canadian EM physicians
CanadiEM - By Matthew Nichols - July 16, 2018
"Main Messages 
  • MTP is indicated for patients with prior or ongoing major hemorrhage. MTPs can prevent dilutional coagulopathy and the deleterious effects of large volume crystalloid administration. Fibrinogen, INR, and platelets should be targeted to levels shown to promote hemostasis.
  • Crucial adjunctive measures include administration of tranexamic acid and prevention of hypothermia including the use of a blood warmer, bair hugger, and warmed ambient room temperature.
  • Monitor calcium, magnesium, and potassium to prevent complications of MTP including arrhythmia and death."

All the content from the Blood & Clots series can be found here