1. The Massive Transfusion Protocol An Aide Memoire 1

2. For every unit of Packed cells, you should aim to administer – Fresh Frozen Plasma one unit for each unit of packed cells All clotting factors, including V & VIII – Platelets equivalent to that in a unit of whole blood 1 pack of platelets is the pooled platelets of four donors – Fibrinogen equivalent to that in a unit of whole blood Cryoprecipitate is rich in Fibrinogen (140 mg/60mls) 2

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9. Consultant in Charge 9

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11. Blood tests take time, Clotting, biochemistry tests take about 15-30 minutes. 11

12. Other Considerations 12

13. Additional Components 13