Elin, wow does that hit home for me today! Over the weekend we had a patient with an INR of 9, a HGB of 11 and a PLT of 21. ER ordered 4 FFP, and gave them. I believe they did a PT then, with an INR of 2. On the floor, the dr ordered 4 more FFP, 1 cryo (FBG<50) and PPH. They drew a CBC from a line and got a HGB of 4, so they also ordered 4 PRBC, with two on keep-ahead. In less than 12 hours the pt got 1 cryo, 1 PPH, 8 FFP and 7 PRBC and then died.