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Those of you in level 1 trauma center, what is your MTP protocol? We do 6 pRBC 6 FFP 1 plt ratios.
I think the latest evidence shows that plt through a fluid warmer is ok. specially given how fast it goes in.
Anyone use furosemide? What clinical signs do you use to give you an idea that you need to diurese?
Also what about in pedi? theoretically it should be the same concept, children have more fluid per kg, does that make a difference on how you transfuse?
Theoretical question given today's events.
There is a tendency to over transfuse in MTPs given the nature of the problem. However, if there are other rooms going in a mass casaulty do you try to curb the unnecessary transfusions? How do you even start that conversation?
What about the platelet ratio, do you try to conserve plt as it's the most scarce product in most blood banks?
I think the latest evidence shows that plt through a fluid warmer is ok. specially given how fast it goes in.
Anyone use furosemide? What clinical signs do you use to give you an idea that you need to diurese?
Also what about in pedi? theoretically it should be the same concept, children have more fluid per kg, does that make a difference on how you transfuse?
Theoretical question given today's events.
There is a tendency to over transfuse in MTPs given the nature of the problem. However, if there are other rooms going in a mass casaulty do you try to curb the unnecessary transfusions? How do you even start that conversation?
What about the platelet ratio, do you try to conserve plt as it's the most scarce product in most blood banks?
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