A 22-year-old man is brought to the emergency department after sustaining a motor vehicle accident and hemorrhagic shock. The massive transfusion protocol (MTP) is activated, and the patient receives two trauma packs (each pack containing five units of uncrossmatched group O-negative red blood cells [RBCs], five units of type AB plasma, and one unit of apheresis platelets [any ABO type]). Subsequently, a type and screen sample (ethylenediaminetetraacetic acid [EDTA] anticoagulant) is submitted to the blood bank.
KeywordsAB plasma Dilutional thrombocytopenia Massive transfusion
- 2.Holcomb JB, Tilley BC, Baraniuk S, et al.; PROPPR Study Group. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma. The PROPPR randomized clinical trial. JAMA. 2015;313(5):471–82.Google Scholar