Bloody Minded Episode 38 - Infinity Products | Massive Transfusion Protocols
Mar 18, 2025
Dive into the intense world of massive transfusion protocols, where timing and coordination are crucial in life-or-death situations. Discover the ethical dilemmas surrounding blood transfusions and the pressing need for informed consent. Explore challenges such as the scarcity of key blood products and the complexities of coagulopathy and hypothermia. This engaging discussion also highlights innovative practices, like whole blood transfusions, aiming for balanced patient care during traumatic emergencies.
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Early Response in Massive Bleeds
- Call for help immediately in massive bleeding scenarios and secure two large-bore IV cannulas early.
- Draw baseline bloods and physically deliver group and screen samples to the blood bank promptly.
Coordinate Communication During MTP
- Assign a dedicated coordinator to communicate with the blood bank throughout the MTP to streamline transfusions.
- Designate a scribe to document MTP events including timing, products given, and venous access.
Group A Plasma Use Explained
- Group A plasma is an acceptable alternative to AB plasma in unknown ABO status trauma patients.
- Statistical population frequencies and neutralization of anti-B antibodies mitigate risks associated with group A plasma use.