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Sun Jul 22 22:37:24 BST 2007

Dear All,

A straw poll if you don't mind on massive transfusion protocols for
traumatic haemorrhage.  Please base your answers on your current practice or
your institution's current practice, not latest research / hearsay etc:

A. If you HAVE a massive transfusion protocol in your hospital:

	1. Are you given packs of FFP according to how many units of blood
have been administered?
		(eg. 2 units of FFP after every 6 units of blood)

	2. How much FFP after how much blood?

	3. If your answer to (1) was NO, what's the make-up of your packs

B. If you have just administered 6 units of blood:

	1. Do you always give a certain amount of FFP or do you wait for
labs? Which labs?

	2. If you give FFP, how much for those 6 units would you consider
standard?

	3. What is the minimum that should be given (0 is an acceptable
answer)

C. Labs:

	1. You send a PT/PTT from the ED or Operating room.  How soon do you
get it back? (really)

	2. Do you have point of care testing for PT/PTT in the ED & OR?

	3. Do you do thromboelastometry routinely on bleeding trauma
patients in the ED and OR?

There are no right or wrong answers, as practice varies so widely.  I'm just
trying to see the breadth of responses. So as many replies as possible
please - even from the lurkers :-)

Karim

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Massive Transfusion Protocol: What's in YOUR pack?