Massive Transfusion Protocol Malaysia

Algorithm for the management of major haemorrhage adapted from the bcsh practical guideline for the management of those with or at risk of major haemorrhage 2014.

Massive transfusion protocol malaysia. Development of a massive transfusion protocol. General specifications for laboratory test procedures 10. The purpose of the following guidelines is to identify the necessary components of an mtp and address key issues involved in developing an mtp for trauma. Massive transfusion protocols for traumatic haemorrhage have been shown to improve outcomes if initiated early in the course of treatment cotton 2008.

Suggested that trying to achieve a 1 1 1 ratio is optimal as this will most closely approximate a 1 2 goal. Trauma and massive transfusion 31 4. Microbiology tests for donors and donations. Massive transfusion thereby improving outcome.

Therefore there is a need to ensure appropriateness of transfusion. Reviewed and revised 10 march 2014 overview massive transfusion is defined as replacement of 1 blood volume in 24 hours or 50 of blood volume in 4 hours adult blood volume is approximately 70 ml kg or in children. Initiating a massive transfusion protocol requires a mechanism to accurately identify patients that will need it a critical pathway to ensure efficient. Transfusion medical laboratory tests are available to the patient wards and clinics hospital usm.

Agreed on specific guidelines that include clinical laboratory blood bank and logistic responses. Health care in malaysia by providing adequate safe and high quality blood and blood products. The demand for a reliable transfusion service is ever increasing. Multiple military and civilian trauma studies of massive transfusion protocols suggest that a 1 1 1 ratio of prbc to ffp and platelets is optimal and associated with the best outcomes 4 5 8 11 16.

These guidelines are intended to provide a quick reference to practicing. Massive transfusion protocols mtps have been associated with a reduction in mortality and overall blood product use in trauma centers. Despite technological and medical advances blood transfusion risks still exist and blood safety remains a major concern to medical personnel patients and communities. Pakar perubatan pegawai perubatan adalah bertanggungjawab untuk mengambil memberikan darah tersebut dan mereka dikehendaki menandatangani borang permintaan darah sebelum darah dapat dikeluarkan dari unit.

Patients of government hospitals and clinics hospitals and private clinics and other health centers can use the service in advance through consultations between the relevant patient medical officer with the medical officer hematologist at hospital usm. Massive transfusion protocol mtp darah dan komponen darah akan dibekalkan kepada pesakit yang mengalami pendarahan yang teruk massive blood loss sahaja mengikut garis panduan mtp. Evaluation of novel blood components production processes and blood packs.