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Emergency!

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Immunohematology and Transfusion Medicine

Abstract

A 22-year-old man is brought to the emergency department after sustaining a motor vehicle accident and hemorrhagic shock. The massive transfusion protocol (MTP) is activated, and the patient receives two trauma packs (each pack containing five units of uncrossmatched group O-negative red blood cells [RBCs], five units of type AB plasma, and one unit of apheresis platelets [any ABO type]). Subsequently, a type and screen sample (ethylenediaminetetraacetic acid [EDTA] anticoagulant) is submitted to the blood bank.

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References

  1. Borgman MA, Spinella PC, Perkins JG, Grathwohl KW, Repine T, Beekley AC, et al. The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma. 2007;63(4):805–13.

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  3. Zielinski MD, Johnson PM, Jenkins D, Goussous N, Stubbs JR. Emergency use of prethawed Group A plasma in trauma patients. J Trauma Acute Care Surg. 2013;74(1):69–74.

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Recommended Reading

  • Borgman MA, Spinella PC, Perkins JG, et al. The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma. 2007;63(4):805–13.

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  • Lal DS, Shaz BH. Massive transfusion: blood component ratios. Curr Opin Hematol. 2013;20(6):521–5.

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  • Young PP, Cotton BA, Goodnough LT. Massive transfusion protocols for patients with substantial hemorrhage. Transfus Med Rev. 2011;25(4):293–303.

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Friedman, M.T., West, K.A., Bizargity, P., Annen, K., Jhang, J.S. (2018). Emergency!. In: Immunohematology and Transfusion Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-90960-8_46

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  • DOI: https://doi.org/10.1007/978-3-319-90960-8_46

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90959-2

  • Online ISBN: 978-3-319-90960-8

  • eBook Packages: MedicineMedicine (R0)

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