1. Massive Transfusion Protocol (MTP) vs Emergency Release of Blood Products at GW

2. Similarities between MTP and emergency release Both are orders for the blood bank to immediately release blood products A type/screen or type/cross is NOT needed to release blood products A type/cross specimen should be sent ASAP so specific products can be dispensed We have run out of type O blood in the past when a type/cross was never sent Both are orders to dispense products. A separate order is needed to actually transfuse the products

3. Placing the order is PAPER based (NOT CERNER)

4. Differences between MTP and emergency release MTP: Products to be dispensed are FIXED You CANNOT change the order or customize it You only have to sign the form and send it to the blood bank CALL the blood bank to let them know MTP is being activated CALL the blood bank to de-activate MTP so they stop preparing products (and wasting what you don’t use)

5. Emergency Release Need to specify which products you want and how much Differences between MTP and emergency release

6. MTP and Emergency Release Basically: if you want a lot of RBC and FFP in a near 1:1 ratio, order MTP If you want to customize your transfusion regimen, use emergency release