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1Adult Massive Transfusion Protocol (MTP) Checklist Medical decision to initiate MTPInitiate and Prepare Forms Send forms via runnerActivate MTPEmergency Blood & Group & ScreenED, OT, ICU,.

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The threshold for transfusion of red blood cells should be a hemoglobin level of 7 g per dL (70 g per L) in adults and most children.

In adults, massive transfusion can be defined as replacement of >1 blood volume in 24 hours or >50% of blood volume in 4 hours (adult blood volume is approximately 70 mL/kg). In children, it can be defined as transfusion of >40 mL/kg (blood volume in children over 1 month old is approximately 80 mL/kg).

The ABC score assesses four clinical variables and a score of ≥2 was found to have a sensitivity of 75% and a specificity of 86% for predicting the need for massive transfusion.

Massive transfusion has been arbitrarily defined as the replacement by transfusion of ≥10 units of whole blood (WB) or red blood cells (RBCs) in 24 hours as an approximation of the replacement of at least one blood volume (see 'Definitions and jargon' below).

Rate – approximately 2 mL/minute (120mL/hour) for 1st 15 minutes, then increase rate to infuse over 1 to 2 hours (150-250 mL/hr), or as ordered. Do NOT hang longer than 4 hours. (5-10 mL/min). Do NOT hang longer than 4 hours.

The components of MHP are best summarized in terms of 7 Ts: trigger, team, tranexamic acid, testing, transfusion, temperature, and termination. The MHP is appropriately triggered when a patient is massively bleeding, requiring red blood cells (RBCs) AND other components, such as plasma and platelets.

If bleeding controlled, deactivate MTP. If bleeding uncontrolled, continue MTP.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232