Massive transfusion (peds) - Revision history

Ostermayer at 17:40, 17 January 2026

2026-01-17T17:40:05Z

← Older revision		Revision as of 17:40, 17 January 2026
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	{{~~Peds top~~}} ~~[[massive transfusion]]~~		{{PediatricPage\|massive transfusion}}
	==Overview==		==Overview==
	{{Blood product unit conversions}}		{{Blood product unit conversions}}

Rossdonaldson1: /* See Also */

2022-05-14T10:54:10Z

Rossdonaldson1 at 23:35, 28 November 2019

2019-11-28T23:35:24Z

← Older revision		Revision as of 23:35, 28 November 2019
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	~~''This page is for <u>pediatric</u> patients; for adult patients see~~ [[massive transfusion]]''		{{Peds top}} [[massive transfusion]]
	==Overview==		==Overview==
	{{Blood product unit conversions}}		{{Blood product unit conversions}}

ClaireLewis: /* References */

2019-10-09T16:34:04Z

References

← Older revision		Revision as of 16:34, 9 October 2019
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	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Pediatrics]]		[[Category:Pediatrics]]
			[[Category:Critical Care]]

Rossdonaldson1 at 00:41, 14 August 2019

2019-08-14T00:41:41Z

← Older revision		Revision as of 00:41, 14 August 2019
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	''This page is for pediatric patients; for adult patients see [[massive transfusion]]''		''This page is for <u>pediatric</u> patients; for adult patients see [[massive transfusion]]''
	==Overview==		==Overview==
	{{Blood product unit conversions}}		{{Blood product unit conversions}}

Rossdonaldson1 at 20:17, 7 September 2016

2016-09-07T20:17:48Z

← Older revision		Revision as of 20:17, 7 September 2016
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	''This page is for pediatric patients; for adult patients see [[~~Massive~~ transfusion]]''		''This page is for pediatric patients; for adult patients see [[massive transfusion]]''
	==Overview==		==Overview==
	{{Blood product unit conversions}}		{{Blood product unit conversions}}

Rossdonaldson1: /* Procedure */

2016-09-07T20:16:52Z

Procedure

← Older revision		Revision as of 20:16, 7 September 2016
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	==Procedure==		==Procedure==
	===Pediatric Massive Transfusion Protocol<ref>http://pediatrictraumasociety.org/multimedia/files/clinical-resources/MTP-2.pdf</ref><ref>http://pediatrictraumasociety.org/multimedia/files/clinical-resources/MTP-3.pdf</ref>===		===Pediatric Massive Transfusion Protocol Amounts<ref>http://pediatrictraumasociety.org/multimedia/files/clinical-resources/MTP-2.pdf</ref><ref>http://pediatrictraumasociety.org/multimedia/files/clinical-resources/MTP-3.pdf</ref>===
	{\| {{table}}		{\| {{table}}
	\| align="center" style="background:#f0f0f0;"\|'''MTP Pack 1'''		\| align="center" style="background:#f0f0f0;"\|'''MTP Pack 1'''
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	*10u [[cryoprecipitate]]		*10u [[cryoprecipitate]]
	\|}		\|}

			===Example Instructions (Harbor-UCLA)===
			*Early involvement of trauma surgery attending or chief resident in decision
			*Call Blood Bank and state that you are activating the MTP
			*Send a type and cross BEFORE starting transfusions
			*First MTP box ready within 10 min of phone call trigger: 6u PRBC, 4u thawed plasma (FFP)
			*Second MTP box ready within 30 min of initial phone call trigger
			*Successive boxes prepared and issued as needed q 30 minutes of prior box
			*Consider platelets, cryoprecipitate (typically after 2nd box issued)
			**Cryo takes 30 min to thaw and pool – plan ahead and request
			*PRBCs type specific (preferred) or O negative or O positive for men, women > 55 years
			*Plasma (FFP) is Group A – incompatible with 14% of pts (B or AB), could cause some hemolysis
			*Return unused boxes to Blood Bank within 20 minutes if possible (so can return to inventory)
			*MTP automatically terminated 8 hours after initiation, or if you begin to order quantities less than amount in MTP box

	==Complications==		==Complications==

Rossdonaldson1: /* Complications */

2016-09-07T20:14:37Z

Complications

← Older revision		Revision as of 20:14, 7 September 2016
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	==Complications==		==Complications==
			*[[Coagulopathy]]
			*[[Hypothermia]]
			*[[Hyperkalemia]]
			*[[Hypocalcemia]]
			*[[Transfusion reaction]]
			*[[Transfusion-related acute lung injury]]
			*[[Fluid overload]]

	==See Also==		==See Also==

Rossdonaldson1: /* Overview */

2016-09-07T20:12:41Z

Overview

← Older revision		Revision as of 20:12, 7 September 2016
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	''This page is for pediatric patients; for adult patients see [[Massive transfusion]]''		''This page is for pediatric patients; for adult patients see [[Massive transfusion]]''
	==Overview==		==Overview==
			{{Blood product unit conversions}}

	==Indications==		==Indications==

Rossdonaldson1: /* Equipment Needed */

2016-09-07T20:11:17Z

Equipment Needed

← Older revision		Revision as of 20:11, 7 September 2016
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	==Equipment Needed==		==Equipment Needed==
			===Recommended lab studies===
			*Initial: Type & Cross, CBC (Hgb, plt), PT/PTT, Fibrinogen, ionized Ca, K+ (basic metab panel), pH
			*After first 80 mL/kg PRBC: repeat above + FDPs
			*After every 40 mL/kg PRBC from then on: repeat above + FDPs, lactate

	==Procedure==		==Procedure==

← Older revision		Revision as of 10:54, 14 May 2022
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	==See Also==		==See Also==
			*[[Whole blood]]
			*[[TXA]]
			*[[Packed red blood cells]]
			*[[EBQ:PROPPR_Trial\|The PROPPR trial]]
			*[[Coagulopathy (Main)]]
			*[[Hemorrhagic shock]]

	==External Links==		==External Links==