Is anyone considering using K-Centra, the new 4 factor PCC, at the beginning of a massive transfusion? At the start plasma may not yet be thawed and they might want something with lower fluid volume that they can get into the patient faster. I know that big trauma centers are keeping thawed plasma ready at all times but smaller centers like we are that would have a hard time using up all that thawed plasma might benefit from using PCC (although I know it is expensive). Just checking to see if anyone knows more about this concept. I think they use it more readily in Europe than the US.