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Massive Transfusion Protocol

(MTP)
MTP Checklist

• Labs (order them, but don't delay treatment while you wait)
• Activate MTP and communicate with blood bank
• Consider additional fibrinogen (e.g., cryoprecipitate) 
• Calcium 
• Tranexamic acid 
• IV desmopressin (DDAVP) 
• Review anticoagulant medications & consider reversal
• Avoid acidosis and hypothermia
• Haemodynamic
MTP

• Concept of a massive transfusion protocol (MTP)


• When should the massive transfusion protocol be initiated?
• Development versus reality of the MTP
• Coagulation labs & MTP
• Clarifying some terminology:  “massive transfusion” and “massive transfusion
protocol”
• Intravenous access
• Arterial catheter
• Procedural sterility
• Intubation

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