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

For updated thoughts

See this Mass Trans Post

Now on to the Podcast…

Podcast: Play in new window | Download (Duration: 16:53 — 15.5MB) | Embed

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Scott Weingart

An ED Intensivist from NY. No conflicts of interest (coi).

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Cite this post as:

Scott Weingart. EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion. EMCrit Blog. Published on October 31, 2009. Accessed on July 12th 2020. 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.

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Kenneth henriette

8 years ago

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

Author

Scott Weingart

8 years ago

Reply to Kenneth henriette

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.

tom fiero

3 years ago

truly excellent