25 mL/kg PRBC
20 mL/kg FFP
call for platelets for pack 2
25 mL/kg PRBC
20 mL/kg FFP
10 mL/kg platelets
25 mL/kg PRBC
20 mL/kg FFP
10 mL/kg platelets
4 mL/kg cryoprecipitate
25 mL/kg PRBC
20 mL/kg FFP
10 mL/kg platelets
4 mL/kg cryoprecipitate
25 mL/kg PRBC
20 mL/kg FFP
10 mL/kg platelets
4 mL/kg cryoprecipitate
1u PRBC
1u FFP (thaw immediately after PRBC issued)
call for platelets for pack 2
1u PRBC
1u FFP
1 platelet pack
1u PRBC
1u FFP
1 platelet pack
2.5u cryoprecipitate
1u PRBC
1u FFP
1 platelet pack
2.5u cryoprecipitate
1u PRBC
1u FFP
1 platelet pack
2.5u cryoprecipitate
2u PRBC
2u FFP
call for platelets for pack 2
2u PRBC
2u FFP
1 platelet pack
2u PRBC
2u FFP
1 platelet pack
5u cryoprecipitate
2u PRBC
2u FFP
1 platelet pack
5u cryoprecipitate
2u PRBC
2u FFP
1 platelet pack
5u cryoprecipitate
4u PRBC
4u FFP
call for platelets for pack 2
4u PRBC
4u FFP
1 platelet pack
4u PRBC
4u FFP
1 platelet pack
10u cryoprecipitate
4u PRBC
4u FFP
1 platelet pack
10u cryoprecipitate
4u PRBC
4u FFP
1 platelet pack
10u cryoprecipitate
Early involvement of trauma surgery attending or chief resident in decision
Call Blood Bank and state that you are activating the MTP
Send a type and cross BEFORE starting<unk> s
First MTP box ready within 10 min of phone call trigger: 6u PRBC, 4u thawed plasma (FFP)
Second MTP box ready within 30 min of initial phone call trigger
Successive boxes prepared and issued as needed q 30 minutes of prior box
Consider platelets, cryoprecipitate (typically after 2nd box issued)
Cryo takes 30 min to thaw and pool – plan ahead and request
PRBCs type specific (preferred) or O negative or O positive for men, women > 55 years
Plasma (FFP) is Group A – incompatible with 14% of pts (B or AB), could cause some hemolysis
Return unused boxes to Blood Bank within 20 minutes if possible (so can return to inventory)
MTP automatically terminated 8 hours after initiation, or if you begin to order quantities less than amount in MTP box
Cryo takes 30 min to thaw and pool – plan ahead and request
Massive transfusion 
Exchange transfusion
Transfusion-associated circulatory overload
Platelet transfusion
Blood products
Extracorporeal membrane oxygenation
Fresh frozen plasma
Cryoprecipitate transfusion