Question

A 50-year-old man presents to the ED after a high-speed motor vehicle collision. He has multiple fractures and ongoing critical bleeding in theatre. Massive transfusion protocol is activated. According to Australian PBM guidelines for critical bleeding, which principle is most appropriate?

Accepted Answer

Use a balanced ratio of red cells, plasma and platelets guided by laboratory and/or viscoelastic testing

Answer

Use red blood cells only until Hb is normalised

Answer

Delay tranexamic acid until bleeding stops

Answer

Avoid calcium replacement to prevent hypercalcaemia

Answer

Transfuse to target Hb >130 g/L in all trauma patients

Practice question

A 50-year-old man presents to the ED after a high-speed motor vehicle collision. He has multiple fractures and ongoing critical bleeding in theatre. Massive transfusion protocol is activated. According to Australian PBM guidelines for critical bleeding, which principle is most appropriate?