Perfectly balanced, as all things should be. All that blood doesn’t just arrive when you snap your fingers together. The REALITY is you need the TIME and SPACE to thaw that frozen plasma and the strength of MIND to keep all the components in the right ratios. Only the chosen few with the POWER of transfusion medicine and the SOUL of the laboratory can direct the most immense of transfusions - the massive transfusion. Listen to this episode and maybe you can run the GAUNTLET of the MTP.
Timestamps:
0:53 - Get ready for MASSIVE. TRANSFUSION. PROTOCOL.
1:45 - What is an MTP?
4:10 - A bleedy example
7:11 - Activating the MTP
8:52 - Consent in MTPs
11:16 - MTP packs
12:27 - Crossing plasma groups
15:30 - 1:1:1 Transfusion
17:29 - Whole Blood Transfusion
19:49 - Acidosis
22:21 - Hypothermia
23:14 - Hypocalcaemia
25:12 - Resus Associated Coagulopathy
25:49 - DIC
26:58 - Trauma Induced Coagulopathy
29:19 - Summary of Resuscitative Endpoints
31:05 - Viscoelastic testing
33:12 - Factor Concentrates
34:55 - Take home messages
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