- Home
- Welcome and Orientation
- About This Guide
- Patient Transfers
- AAA
- Anticoagulation Reversal
- Aortic Dissection
- ARDS/Mechanical Vent
- Atrial Fibrillation
- Brain Death
- Crash Cart/Defibrillator
- CSW/SIADH
- Cricothyrotomy
- Cuff Leak. What is it?
- Delirium/Antipsychotics
- DKA/Other Ketoacidosis
- EVD AND ICP MONITORS
- ETOH Withdrawal
- Extubation Readiness
- Febrile Neutropenia
- Fluids
- GI Bleeds
- Group A Streptococcus
- Hypertension PRNs
- Lido With Epi Recipe
- Lines & Tubes on CXR
- Lumbar Drains
- Lung Volume Recruitment
- Massive Transfusion
- O2 Delivery Devices
- Pacemaker Insertion
- Pain/Analgesia
- Pocket Pressor Recipes
- Pulmonary Embolism/PERT
- Respiratory Failure
- ROSC
- Sedation in ICU
- Seizures/Status
- Shock and Sepsis
- Subarachnoid Hemorrhage
- Swan Ganz Catheter Setup
- TBI/EVD/ICP monitoring
- TEVAR
- Toxicology/Overdose
- Tracheostomies AND THT
- Trauma Patients in ICU
- Tumor Lysis Syndrome
- Vasoactive Medications
- Ultrasound Guided Lines
Massive Transfusion
Call a Code Bleed
Civic: 14328
General: 78302
2 Large Bore IVs (at least)
2 Blood Warmers and/or the Level 1 Rapid Infuser
Forced Air Blanket on patient (blood won't clot in a hypothermic milieu)
Box 1
Box 1
4 Units PRBC
Box 2
Box 1
4 Units PRBC
4 Units FFP
1 Unit Platelets
Box 3
4 Units PRBC
2 Units FFP
4g Fibrinogen
Tranexamic Acid
1g IV q8h or infusion
Calcium Chloride
Calcium Chloride
1g after every 4 units of blood
- blood contains citrate and binds calcium
- Calcium is an essential cofactor in the coagulation cascade