Episode 9: Not All MTP's Are Equal .....

What is Massive Transfusion? What's in an MTP? When to Trigger?  What's in the box? New trends and controversies.  When to halt your MTP.    Selected References: Early high ratio platelet transfusion in trauma resuscitation and its outcomes. Trauma resuscitation requiring massive transfusion: a descriptive analysis of the role of ratio and time. Ten-year analysis of transfusion in Operation Iraqi Freedom and Operation Enduring Freedom: increased plasma and platelet use correlates with improved survival. Massive transfusion protocols: the role of aggressive resuscitation versus product ratio in mortality reduction. Improvement of Treatment Outcomes after Implementation of a Massive Transfusion Protocol: A Level I Trauma Center Experience. Massive transfusion policies at trauma centers participating in the American College of Surgeons Trauma Quality Improvement Program. Use of prothrombin complex concentrate as an adjunct to fresh frozen plasma shortens time to craniotomy in traumatic brain injury patients. Plus the PROMTT and PROPPR Trials ofcourse.