Massive transfusion - Revision history

Ostermayer at 18:14, 16 January 2026

2026-01-16T18:14:10Z

← Older revision		Revision as of 18:14, 16 January 2026
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	{{~~Adult top}} [[~~massive transfusion (peds)]]		{{AdultPage\|massive transfusion (peds)}}
	==Background==		==Background==
	[[File:lethaltriad.png\|thumb\|<ref>Mikhail J. The trauma triad of death: hypothermia, acidosis, and coagulopathy. AACN Clin Issues. 1999;10(1):85-94.</ref>]]		[[File:lethaltriad.png\|thumb\|<ref>Mikhail J. The trauma triad of death: hypothermia, acidosis, and coagulopathy. AACN Clin Issues. 1999;10(1):85-94.</ref>]]

Junxikowski: /* Background */

2024-02-14T19:43:51Z

Background

← Older revision		Revision as of 19:43, 14 February 2024
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	**Transfusion of >10 units of packed red blood cells within a 24-hour period OR		**Transfusion of >10 units of packed red blood cells within a 24-hour period OR
	**Transfusion of >4 units of packed red blood cells within 1 hour, with anticipation of requiring more transfusion within the next 24 hours		**Transfusion of >4 units of packed red blood cells within 1 hour, with anticipation of requiring more transfusion within the next 24 hours
			**Replacement of >1 blood volume in 24 h or >50% of the blood volume in 4 h
	*In addition to controlling hemorrhage the greatest concern during MTP is the lethal triad:<ref>Kashuk JL, et al. Major abdominal vascular trauma — A unified approach. J Trauma. 1982;22(8):672–679.</ref>		*In addition to controlling hemorrhage the greatest concern during MTP is the lethal triad:<ref>Kashuk JL, et al. Major abdominal vascular trauma — A unified approach. J Trauma. 1982;22(8):672–679.</ref>
	*#[[Hypothermia]]		*#[[Hypothermia]]

Bobzmac: /* External Links */

2022-12-15T22:46:51Z

External Links

← Older revision		Revision as of 22:46, 15 December 2022
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	==External Links==		==External Links==
	*[http://www.mdcalc.com/abc-score-assessment-of-blood-consumption-for-massive-transfusion/ MDCalc - ABC score]		*[http://www.mdcalc.com/abc-score-assessment-of-blood-consumption-for-massive-transfusion/ MDCalc - ABC score]
	*[~~http~~://www.mdcalc.com/~~tash-score-trauma-associated-severe-hemorrhage-for-massive~~-~~transfusion~~/ MDCalc - ~~TASH score~~]		*[https://www.mdcalc.com/calc/1316/shock-index/ MDCalc - Shock Index]
	*Massive Transfusion Protocol on [https://emcrit.org/ibcc/mtp/ Internet Book of Critical Care]		*Massive Transfusion Protocol on [https://emcrit.org/ibcc/mtp/ Internet Book of Critical Care]

Rossdonaldson1: /* See Also */

2022-05-14T10:53:53Z

Rossdonaldson1: /* See Also */

2022-05-14T10:50:09Z

Masoodrm: /* Background */

2022-04-24T15:04:00Z

Background

← Older revision		Revision as of 15:04, 24 April 2022
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	==Background==		==Background==
	[[File:lethaltriad.png\|thumb\|<ref>Mikhail J. The trauma triad of death: hypothermia, acidosis, and coagulopathy. AACN Clin Issues. 1999;10(1):85-94.</ref>]]		[[File:lethaltriad.png\|thumb\|<ref>Mikhail J. The trauma triad of death: hypothermia, acidosis, and coagulopathy. AACN Clin Issues. 1999;10(1):85-94.</ref>]]
	*~~Although massive~~ transfusion (MTP) ~~does not have a~~ universal definition~~, it~~ is generally ~~described~~ as ~~transfusion~~ of >10 units of ~~blood products (specifically [[Packed~~ red blood cells]] within a 24-hour period)		*Massive transfusion protocol (MTP) has no universal definition but is generally considered as:
			**Transfusion of >10 units of packed red blood cells within a 24-hour period OR
			**Transfusion of >4 units of packed red blood cells within 1 hour, with anticipation of requiring more transfusion within the next 24 hours
	*In addition to controlling hemorrhage the greatest concern during MTP is the lethal triad:<ref>Kashuk JL, et al. Major abdominal vascular trauma — A unified approach. J Trauma. 1982;22(8):672–679.</ref>		*In addition to controlling hemorrhage the greatest concern during MTP is the lethal triad:<ref>Kashuk JL, et al. Major abdominal vascular trauma — A unified approach. J Trauma. 1982;22(8):672–679.</ref>
	*#[[Hypothermia]]		*#[[Hypothermia]]

Elcatracho: /* Background */

2020-12-10T16:59:56Z

Background

← Older revision		Revision as of 16:59, 10 December 2020
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	{{Adult top}} [[massive transfusion (peds)]]		{{Adult top}} [[massive transfusion (peds)]]
	==Background==		==Background==
			[[File:lethaltriad.png\|thumb\|<ref>Mikhail J. The trauma triad of death: hypothermia, acidosis, and coagulopathy. AACN Clin Issues. 1999;10(1):85-94.</ref>]]
	*Although massive transfusion (MTP) does not have a universal definition, it is generally described as transfusion of >10 units of blood products (specifically [[Packed red blood cells]] within a 24-hour period)		*Although massive transfusion (MTP) does not have a universal definition, it is generally described as transfusion of >10 units of blood products (specifically [[Packed red blood cells]] within a 24-hour period)
	*In addition to controlling hemorrhage the greatest concern during MTP is the lethal triad:<ref>Kashuk JL, et al. Major abdominal vascular trauma — A unified approach. J Trauma. 1982;22(8):672–679.</ref>		*In addition to controlling hemorrhage the greatest concern during MTP is the lethal triad:<ref>Kashuk JL, et al. Major abdominal vascular trauma — A unified approach. J Trauma. 1982;22(8):672–679.</ref>

Hoxbox: /* External Links */

2020-12-08T13:23:07Z

External Links

← Older revision		Revision as of 13:23, 8 December 2020
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	*[http://www.mdcalc.com/abc-score-assessment-of-blood-consumption-for-massive-transfusion/ MDCalc - ABC score]		*[http://www.mdcalc.com/abc-score-assessment-of-blood-consumption-for-massive-transfusion/ MDCalc - ABC score]
	*[http://www.mdcalc.com/tash-score-trauma-associated-severe-hemorrhage-for-massive-transfusion/ MDCalc - TASH score]		*[http://www.mdcalc.com/tash-score-trauma-associated-severe-hemorrhage-for-massive-transfusion/ MDCalc - TASH score]
			*Massive Transfusion Protocol on [https://emcrit.org/ibcc/mtp/ Internet Book of Critical Care]

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

Rossdonaldson1 at 23:35, 28 November 2019

2019-11-28T23:35:43Z

← Older revision		Revision as of 23:35, 28 November 2019
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	~~''This page is for <u>adult</u> patients; for pediatric patients see~~ [[massive transfusion (peds)]]''		{{Adult top}} [[massive transfusion (peds)]]
	==Background==		==Background==
	*Although massive transfusion (MTP) does not have a universal definition, it is generally described as transfusion of >10 units of blood products (specifically [[Packed red blood cells]] within a 24-hour period)		*Although massive transfusion (MTP) does not have a universal definition, it is generally described as transfusion of >10 units of blood products (specifically [[Packed red blood cells]] within a 24-hour period)

ClaireLewis at 16:33, 9 October 2019

2019-10-09T16:33:42Z

← Older revision		Revision as of 16:33, 9 October 2019
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	==Complications<ref>Roback JD (ed). Non-infectious complications of blood transfusion. Chapter 27, AABB Technical Manual, 17th edition. AABB, Bethesda, 2011.</ref>==		==Complications<ref>Roback JD (ed). Non-infectious complications of blood transfusion. Chapter 27, AABB Technical Manual, 17th edition. AABB, Bethesda, 2011.</ref>==
	*[[Hypothermia]]		*[[Hypothermia]]
	*Dilutional coagulopathy		*Dilutional [[coagulopathy]]
	*[[Hypocalcemia]] and [[hypomagnesemia]] from high citrate concentration		*[[Hypocalcemia]] and [[hypomagnesemia]] from high citrate concentration
	*[[Lactic acidosis]] from inability to breakdown citrate secondary to to hepatic dysfunction		*[[Lactic acidosis]] from inability to breakdown citrate secondary to to hepatic dysfunction
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	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Critical Care]]

← Older revision		Revision as of 10:53, 14 May 2022
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	==See Also==		==See Also==
	*[[Massive transfusion (peds)]]
	*[[Whole blood]]		*[[Whole blood]]
	*[[TXA]]		*[[TXA]]
	*[[Packed red blood cells]]		*[[Packed red blood cells]]
	*[[EBQ:PROPPR_Trial\|The PROPPR trial]]		*[[EBQ:PROPPR_Trial\|The PROPPR trial]]
	*[[Coagulopathy (~~Main~~)]]		*[[Coagulopathy (main)]]
	*[[Hemorrhagic shock]]		*[[Hemorrhagic shock]]

← Older revision		Revision as of 10:50, 14 May 2022
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	==See Also==		==See Also==
	*[[Massive transfusion (peds)]]		*[[Massive transfusion (peds)]]
			*[[Whole blood]]
	*[[TXA]]		*[[TXA]]
	*[[Packed red blood cells]]		*[[Packed red blood cells]]