title: Role of the massive transfusion protocol in the management of haemorrhagic shock.
abstract: The concept of rapid delivery of multiple blood products to the bedside of a massively haemorrhaging patient seems to be a logical approach to the management of the massively bleeding patient. However, controversy exists in the use of fixed blood component ratios. Assessing the extent of the coagulopathy through point-of-care testing might provide patients with product administration as needed, and avoid excessive transfusion and its associated complications.
authors.affiliation: Department of Anesthesiology, Magee Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Waters
mesh_terms: D001780:Blood Coagulation Tests / Q000379:methods; D016913:Blood Component Transfusion / Q000379:methods*; D002985:Clinical Protocols; D004211:Disseminated Intravascular Coagulation / Q000628:therapy; D006801:Humans; D010949:Plasma; D019095:Point-of-Care Systems; D012771:Shock, Hemorrhagic / Q000628:therapy*
keywords: blood component transfusion; consumption coagulopathy; erythrocytes; trauma