Experience with a massive transfusion protocol in the management of massive haemorrhage

Abstract

Although there has been a significant change in transfusion practice in MT patients using a MTR, no change in mortality could be documented using such a protocol.

The use of massive transfusion protocol for trauma and non-trauma patients in a civilian setting: what can be done better?

“…Sinha et al's study of MTP use in a similar civilian setting reported a 29% overall mortality rate among their study cohort of trauma and non-trauma patients. (32) The difference in overall mortality rates between Sinha et al's study and our study could be due to the precocious analysis of our centre's MTP at 17 months. As MTP usage matures with time, compliance is likely to improve, resulting in improved mortality outcomes.…”

Descriptive characteristics and in‐hospital mortality of critically bleeding patients requiring massive transfusion: results from the Australian and New Zealand Massive Transfusion Registry

“…Studies describing outcomes in patients requiring MT conducted in Australia are limited to single‐hospital studies of trauma patients . For example, Mitra et al .…”

Emergency red cells first: Rapid response or speed bump? The evolution of a massive transfusion protocol for trauma in a single UK centre

“…This lack of clarity has arisen from the practice of excluding cases where an MTP has been activated for patients requiring little or no transfusion [4,18] and a general paucity of information about the size and composition of the denominator groups [3,19]. The only brief insights into this issue have been provided by Hendrickson et al [20] Morse et al [21] and Sinha et al [22] who, in their respective paediatric, adult non-trauma and mixed MTP groups, have all noted MTP activation can be followed by little or no transfusion.…”