EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion

October 31, 2009 by Scott Weingart 3 Comments

On this podcast,

I recap from last show, especially the concept of bare minimum normotension (called erroneously permissive hypotension by just about everyone else) and why we should keep the MAP higher if there is suspected elevations in intracranial pressure

I then talk about massive transfusion. This is probably the best strategy for a patient that will require greater than 8-10 units of PRBCs.

What may be the best review of the topic is by Spinella and Holcomb:

(Blood Reviews 2009;23:231-240)

I talk about

1:1:1 transfusion
PCC, Factor VIIa, Cryo
Calcium
IV Access

coming up in the next few podcasts: Sedatives for Intubation, Trauma Airway Management, The Crashing A-fib patient

Podcast: Play in new window | Download (15.5MB) | Embed

Subscribe: Apple Podcasts | Android | Google Podcasts | RSS | More

About
Latest Posts

Scott Weingart

An ED Intensivist from NY.

Latest posts by Scott Weingart (see all)

EMCrit 233 – EMCrit Failed Airway Algorithm 2018 from ResusTO - September 19, 2018
EMCrit 232 – SteelMan Debate – EMS Field Decisions in Cardiac Arrest with Howie Mell - September 5, 2018
EMCrit 231 – How to Practice Cricothyroidotomy (Cric) - August 25, 2018

Cite this post as:

Scott Weingart. EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion. EMCrit Blog. Published on October 31, 2009. Accessed on September 23rd 2018. Available at [https://emcrit.org/emcrit/massive-trans/ ].

Financial Disclosures

Unless otherwise noted at the top of the post, the speaker(s) and related parties have no relevant financial disclosures.

You finished the 'cast,
Now get CME credit

Already an EMCrit CME Subscriber?
Click Here to Get CME Credit for the Episode

Not a subcriber yet? Why the heck not?
By subscribing, you can...

Get CME hours
Support the show
Write it off on your taxes or get reimbursed by your department

Subscribe Now

If you enjoyed this post, you will almost certainly enjoy our others. Subscribe to our email list to keep informed on all of the Resuscitation and Critical Care goodness.

This Post was by the EMCrit Crew, published 9 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.

3
Comment Here

newest oldest most voted

Guest

Kenneth henriette

how about the place of tranxenamic acid in this algorithm,
regards,
Ken

Guest

emcrit

We’re doing a whole podcast on TXA in the next few weeks, but in GB it costs a few quid, in my hospital $100 per gram ($200 per patient). Have no idea why we are getting reamed on this generic drug in the US.

Guest

tom fiero

truly excellent

EMCrit RACC