A trauma client requires massive transfusion. Which ratio re… | MyMerci
Medical Emergencies PA
Question

A trauma client requires massive transfusion. Which ratio reflects the contemporary balanced massive transfusion protocol?

Explanation
Correct (2): Balanced 1:1:1 ratio of PRBC : FFP : platelets (PROPPR trial) reduces dilutional coagulopathy, hypothermia, acidosis (lethal triad). Add cryoprecipitate, calcium replacement (citrate chelates Ca), warm fluids/products, tranexamic acid (TXA) within 3 hours of trauma. Avoid excessive crystalloid (worsens coagulopathy). (1,3,4) Outdated/incorrect.

In-depth explanation

Memory Tip MTP = "1:1:1 + TXA + Calcium + Warm." Lethal triad of trauma = hypothermia + acidosis + coagulopathy. Avoid excess saline.

Clinical scenario

Scenario 34-year-old trauma client with class IV hemorrhage; massive transfusion protocol activated.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.