The ABCD of Massive Transfusion

00:00
21:06
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Nurses Edition Commentary

Rob Orman, MD and Tom Deloughery, MD
00:00
03:06

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

James C. -

Can someone please clarify once and for all, as I feel as though I am being told different things depending on what hospital I am at (my current one doesn't even stock platelets). In the 1:1:1 transfusion, is it ONE UNIT of platelets (a full six pack ) or it is one single pack? (1/6 of a unit).

Mel H. -

Directly from the PROPPR study:

"All containers for the 1:1:1 group included 6 U of plasma, 1 dose of platelets (a pool of 6 U on average), and 6 U of RBCs, which were transfused in the following order: platelets first, then alternating RBC and plasma units. The initial and all subsequent odd-numbered containers for the 1:1:2 group included 3 U of plasma, 0 doses of platelets, and 6 U of RBCs, which were transfused in the following order: alternating 2 U of RBCs and 1 U of plasma. The second and all subsequent even-numbered containers included 3 U of plasma, 1 dose of platelets (a pool of 6 U on average), and 6 U of RBCs, which were transfused in the following order: platelets first, then alternating 2 U of RBCs and 1 unit of plasma. Patients with multiple intravenous lines could receive blood products simultaneously, otherwise patients received products sequentially. "

James C. -

Maybe they should have called it the 6:6:6 protocol.... not that the 666 protocol name would have caused any worry.

Mel H. -

Oh I so going to steal that line!

Matthew J. -

Any advice about MTP in peds trauma?

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Little Tubes, Little Labs Full episode audio for MD edition 217:13 min - 303 MB - M4AEM:RAP 2017 April French Edition Français 38:53 min - 53 MB - MP3EM:RAP 2017 April Spanish Edition Español 103:05 min - 141 MB - MP3EM:RAP 2017 April Canadian Edition Canadian 15:44 min - 22 MB - MP3EM:RAP 2017 April Australian Edition Australian 25:20 min - 35 MB - MP3EM:RAP 2017 April German Edition Deutsche 73:56 min - 102 MB - MP3EM:RAP 2017 April Board Review Answers 216 KB - PDFEM:RAP 2017 April Board Review Questions 169 KB - PDFEM:RAP 2017 April Individual Files - MP3 288 MB - ZIPEM:RAP April Written Summary 577 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

6 AMA PRA Category 1 Credits™ certified by CEME (EM:RAP)

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate