The Massive The Massive Transfusion Transfusion

ProtocolProtocolAn Aide Memoire

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• For every unit of Packed cells, you should aim to administer– Fresh Frozen Plasma one unit for each unit of packed cells

• All clotting factors, including V & VIII

– Platelets equivalent to that in a unit of whole blood• 1 pack of platelets is the pooled platelets of four

donors

– Fibrinogen equivalent to that in a unit of whole blood• Cryoprecipitate is rich in Fibrinogen (140 mg/60mls)

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Consultant in Charge

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Blood tests take time,

Clotting, biochemistry

tests take about 15-30

minutes. 11

Other Considerations

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Additional Components

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