Authors
John R Hess, Patrick J Ramos, Nina E Sen, Virginia G Cruz‐Cody, Erin E Tuott, Max J Louzon, Eileen M Bulger, Saman Arbabi, Monica B Pagano, Ryan A Metcalf
Publication date
2018/2
Journal
Transfusion
Volume
58
Issue
2
Pages
480-484
Description
BACKGROUND
Massive transfusion is a response to massive uncontrolled hemorrhage. To be effective, it must be timely and address the patient's needs for blood volume, oxygen transport, and hemostasis.
STUDY DESIGN AND METHODS
A review was performed on all activations of the massive transfusion protocol (MTP) in a hospital with large emergency medicine, trauma, and vascular surgery programs. Indications, transfused amounts, and outcomes were determined for each MTP event to determine appropriateness of MTP use. Results are presented as descriptive statistics, categorical associations, and simple linear trend relationships.
RESULTS
The MTP was activated 309 times in 2016. Of these episodes, 237 were for trauma, 29 for gastrointestinal bleeding, 16 for ruptured abdominal aortic aneurisms, and 25 for a variety of other causes. Trauma‐related MTP activations had a mean injury severity …
Scholar articles
JR Hess, PJ Ramos, NE Sen, VG Cruz‐Cody, EE Tuott… - Transfusion, 2018