Hey folks Scott Weingard here and this is the M-Krit podcast.

Today I figured I would do a trauma topic.

Well it's mostly trauma. It's also any other disease state in which a patient may be

ex-sanguinating, such as massive GI bleeding,

a massive obstetric hemorrhage, anything like that.

And what we're going to talk about today is the logistics of administering a massive

transfusion.

Not which products to give, not the theory, not as one to one to one to one, better

than one to one to one to two and all that stuff we've covered

that now I mean like the hands on what you need to do to get large volumes of

blood products into a patient who is hemorrhaging out in front of you.

Let's set the stage.

So you have a blunt trauma patient, they have an unstable pelvis and you've already administered the two units of blood you keep in a fridge in your department. This would put you in the situation of you've now reached the critical administration

threshold. That is when you give three units of blood the patient is predicted to

require massive transfusion or maybe you took a look at the

patient from the moment they arrived and he said up ABC scores high or your Gestalt

says this is a massive transfusion patient so now you've activated the massive transfusion protocol. So now you've activated the massive

transfusion protocol at your hospital. You have one of those right? Because if

you don't, the chances of you getting blood products with a lacrity is virtually

none. So you need a massive transfusion protocol if you're at a

place where you take care of bleeding patients. So you're at that point, you call

for it, someone's running to get it. And in the meanwhile you look down to verify what type of IV access you have.

...