A 58-year-old man admitted with severe trauma from a motor vehicle collision is actively bleeding, with systolic blood pressure 70 mm Hg despite fluid...

Question

A 58-year-old man admitted with severe trauma from a motor vehicle collision is actively bleeding, with systolic blood pressure 70 mm Hg despite fluid resuscitation. Massive haemorrhage protocol has been activated. According to Canadian massive transfusion principles, which blood product strategy is preferred?

Accepted Answer

Use balanced transfusion with approximate 1:1:1 ratio of red cells, plasma, and platelets

Answer

Transfuse packed red blood cells only until haemoglobin normalises

Answer

Wait for full coagulation laboratory results before giving plasma or platelets

Answer

Give platelets only if platelet count falls below 20 × 10⁹/L

Answer

Use crystalloid exclusively to avoid blood product exposure

ca-mccqe1 MCQ (SBA): Massive haemorrhage in trauma