We are a level 2 trauma center. Our original MTP order includes FFP (including liquid plasma) x 6, packed cells x 6, and pltph x 1. Blood tests drawn with that original order are ABG, CBC, PT, PTT, Fibrinogen, D-Dimer, TEG, Chem 7, and Ionized Calcium. Every hour for 3 hours (if the protocol goes that long), we order ABG, CBC without diff, PT, PTT, Fibrinogen, D-Dimer, TEG, Chem 7 and Ionized Ca.
After the first pack of blood products is taken, blood bank orders in the next pack if told to continue. Second pack and every other pack is the same products but also includes pooled cryo x 2. If the MTP is an OB patient, the pooled cryo are sent with the first pack.