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East of England Regional Transfusion Committee Massive blood loss in children 80 ml/kg 24 hours 40 ml/kg in 3 hours 3 ml/kg/min *Please see guideline for age/weight blood loss estimates Get help Contact
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How to fill out protocol for massive blood:

01
Identify the patient: Start by recording the patient's name, medical record number, and any relevant identification details.
02
Indicate the date and time: Document the exact date and time when the protocol for massive blood transfusion is initiated.
03
Describe the indication: Specify the reason for initiating the massive blood transfusion protocol, such as severe hemorrhage, trauma, or major surgery.
04
Determine vital signs: Monitor the patient's vital signs and record them at regular intervals, including blood pressure, pulse rate, temperature, and oxygen saturation.
05
Calculate blood loss: Estimate the total amount of blood loss by considering inputs from various sources, such as surgical sponges, suction canisters, and clinical assessments.
06
Order blood products: Specify the types and quantities of blood products needed, including packed red blood cells, fresh frozen plasma, platelets, and cryoprecipitate.
07
Monitor laboratory values: Keep track of relevant laboratory values, such as hemoglobin, hematocrit, coagulation parameters, and blood gas analysis. Record results as they become available.
08
Document transfusion details: For each blood product transfused, record the product name, lot number, expiration date, volume infused, and transfusion start and end times.
09
Assess for adverse reactions: Continuously monitor the patient for any signs or symptoms of transfusion reactions, such as fever, rash, dyspnea, or hypotension. Document and manage accordingly.
10
Communicate with healthcare team: Ensure that the protocol for massive blood transfusion is properly communicated to all relevant healthcare providers involved in the patient's care.

Who needs protocol for massive blood?

01
Patients experiencing significant blood loss: This protocol is typically required for individuals who are encountering substantial blood loss due to various reasons, including trauma, major surgeries, gastrointestinal bleeding, or obstetrical emergencies.
02
Patients at risk of hemodynamic instability: Individuals who are at risk of hemodynamic instability due to severe bleeding or critical medical conditions may also necessitate the implementation of a protocol for massive blood transfusion.
03
Patients with specific medical conditions: Some medical conditions, such as certain types of cancers, liver failure, or hemophilia, may require a protocol for massive blood transfusion in case of sudden and rapid blood loss.
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Protocol for massive blood involves guidelines and procedures for the efficient and safe transfusion of a large amount of blood during emergency situations.
The healthcare facility or organization responsible for managing blood transfusions needs to file the protocol for massive blood.
The protocol for massive blood should be filled out by including specific steps for administering blood, identifying roles and responsibilities, and ensuring communication among healthcare providers.
The purpose of protocol for massive blood is to facilitate quick and effective blood transfusions during emergencies while ensuring patient safety.
The protocol for massive blood must include details such as blood type compatibility, procedures for verifying patient identity, monitoring vital signs, and managing transfusion reactions.
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