Good morning, friends!

I wanted to see how many of you give Whole Blood to your Trauma and MTP patients.  We are having discussions about it and wanted to see how many places actually use this product in these scenarios.

Thank you as always!

Sara 

Of course

level 1trauma center

stock 4 whole blood o pos low titer

Level 1 Trauma

Stock ED refrigerator with 4 units Low Titer O POS WB

Level 1 adult, level 2 peds

we keep LTO+WB for traumas - we give 4u per patient that has MTP activated, then switch back to component therapy. 

We are a large academic medical center / L1 adult and peds trauma center.

We stock 4 helicopters, at least 4 county EMS units (with more onboarding)  (all 2 Opos WB units each)  We also have an Adult ED refrigerator where we try to keep a minimum of 8 WB along with a few RBC's and Liquid plasma units.  We also stock 2 units O neg WB in our Peds ED refrigerator.

Our Massive Transfusion protocols allow us to transfuse up to 10 O pos WB to anyone >/= 16 years of age.  

We have a standing order for WB with our supplier for 40 units per week.  

Does everyone get their WB from their suppliers? Or are you collecting your own or reconstituting?

First cooler that goes out in an MTP has 6 whole blood units.  Limit 6 per patient.  Whole blood is on a standing order from the supplier.  

 

Bet'naSBB - (or any peds trauma center) - Do you use the WB for patients under 16 years as well?  Is there a minimum age or weight requirement and/or a different limit to # of LTOWB units used for these ped patients?

We will be participating in the MATC-II trial next year (LTOWB and TXA use in pediatric trauma) - hoping these questions are answered in the next few years so we have best practice for ped patients as well as adults!!!

1 hour ago, Townsend said:

  LTOWB and TXA 

As much as I hate to ask it but having been out of world of blood banking for a few years, would you mind telling us boomers what the acronyms LTOWB and TXA stand for.  Maybe in all his spare time Cliff can include a list of current acronyms for us.

IMO AFAIK  LTOWB = low titer o whole blood  TXA= Tranexamic acid

Its the texting, abbreviations have gone wild :-)

 

45 minutes ago, John C. Staley said:

what the acronyms LTOWB and TXA stand for.  Maybe in all his spare time Cliff can include a list of current acronyms for us.

Refresh the page and hover over the words.