The status of massive transfusion protocols in United States trauma centers: massive transfusion or massive confusion?

摘要: BACKGROUND: Massive transfusion protocol (MTP) utilization and makeup is unknown. STUDY DESIGN AND METHODS: A Web-based survey was sent to members of the Eastern Association for Surgery Trauma published in American newsletter. Comparisons were made with chi-square logistic regression. RESULTS: total 186 surgeons 59 center directors responded. To avoid bias, directors' responses are reported. Sixty percent annually admit more than 1500 patients. Sixty-seven had in-house attending coverage 85% a MTP. Presence MTP not predicted by institution size, level, residency status, or admissions. Sixty-five MTPs been place less 5 years 18% 1 year. Designs varied: 23% one batch components, 25% two three, 41% 11% did use batches. Only 62% first batches contained fresh-frozen plasma (FFP). In second 98% FFP. All third boxes ratio FFP : red blood cells (RBCs) (p = 0.013). Twenty-seven stored emergency department 14% operating room. Twenty-four autoactivate 80% trauma surgeon activated, 66% anesthesia staff, 32% other surgeons, 17% bank. activate most. CONCLUSION: Most centers have Protocols variable new, half 1:1 FFP : RBC ratio. fewer initial units FFP compared RBCs maintain this.