Massive Transfusion Protocols

This is a sample massive transfusion protocol originally prepared at HMC Doha with my input and Division Head, Transfusion Medicine. I have updated it to include use of fibrinogen concentrate and the option to use fresh whole blood (group O, < 14 day old in SAGM, low ABO titer IgM < 1:256).

The volumes for blood components is based on our automated production system Reveos with the RBCs in SAGM, platelets in Mirasol and additive solution, and plasma in Mirasol.