SMILLER Posted May 17, 2014 Share Posted May 17, 2014 I think that as for the cryo not being in the protocol, that a physician would have to make a determination of whether there is a rapidly progressing consumptive coagulopathy process going on in order to justify jumping from just plasma to cryo. As for holding on platelets, I think that as platelets are already being consumed from the initial trauma, the idea is to replace them before secondary bleeding begins in internal organs or brain or whatever from a rapidly dropping count. Scott Link to comment Share on other sites More sharing options...
Sandy L Posted May 20, 2014 Share Posted May 20, 2014 Ours is 4 RBC:4 FFP and a Plt Pher for every 8 RBC for trauma with Cryo only as requested. Initially our OB protocol was to include Cryo pool per every 8 RBC's based on "California Maternal Quality Care Collaborative guidelines". We ended up wasting a lot of Cryo for our OB Massive Protocol patients, so our OB committee agreed to switch to Cryo only as requested. Link to comment Share on other sites More sharing options...
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